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Document No.

: GSB-Form-222

Revision No.
PURCHASE ORDER : 02
Page :1

Date : 27 Juni 2019

To : PO No. : Ship to :
Attn : Date : Delivery term :
Job Number : Delivery Date :
PR No : Term of Payment:
Vendor Reff No :

No. Description Specification Dimension Q Unit Price Total Price


t IDR

Total
Note :
VAT
Grand Total

Prepared by, Reviewed by, Approved by, Vendor Acceptance Sign

Purchasing Staff Purchasing Manager Director


Original : Vendor Copy : Purchasing User

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