PT.

ARKANANTA APTA
PRATISTA
Copy ▌PURCHASE REQUEST
Document Number Document Date Page
Jl. MT Haryono
210121062 17.05.2021 1/1

76126 BALIKPAPAN
INDONESIA

Unit No AC 008 Department Plant

Model No XAS97DDAS F AC LEG Good Receipt No 212420279

Serial No AIP673259 Material Request No 215021418

Hour Meter 3,716.00 Ruquired Date 17-May-2021

Item Code Description Required Qty. UOM Whs Code In Stock Whs Project

CO-R220X125CM HOSE 1 EA 04-SPT 011C

CO-0606MB FITTING 3/8" 1 EA 04-SPT 011C

CO-0404MB FITTING 1 EA 04-SPT 011C

CO-0606MJ FITTING 1 EA 04-SPT 011C

CONSIGNMENT CV. INTI PERMAI

PART USED BY AC 008
REFF DO : 5611
MR : 215021418
GR : 212420279

Prepared By, Approved By,

( HERIBERTUS BUDI
( Alex
)

CEO: Phone: (+62 - 542) 721 2700 Bank Name:

Tax Official: PT. ARKANANTA APTA Fax: (+62 - 542) 721 2730 Bank Account:
PRATISTA
Headquarters: E-Mail: Bank Code:

Website: www.arka.co.id Tax No.: Swift/BIC:

Tax ID No.: 02.384.189.3-725.000 IBAN: