PT.

Yaskawa Electric Indonesia

Jakarta Office
Summary Requisition Sheet ( SRS )
NO. DESCRIPTION QTY UNIT PRICE TOTAL PRICE
1 Rapid Test Antigen 1 - Rp 180,000 Rp 180,000.00

Total: Rp 180,000.00

Prepared by: Checked by: Approved by:

Name : M Solikhin Name : Name :

Title : Asst. Manager Title : Title :
Date : May 2, 2021 Date : Date :

Note: For Project PT. Sumirubber