ADVANCED MONEY REQUEST

NO. : …………./PT.TDU-AMR/………..……/…………/20….
Date of Request : _________/___________/____________ Department : ___________________________
Division : _________________________________ Section : ___________________________

NO DESCRIPTION AMOUNT REMARK

GRAND TOTAL
IN WORDS :
……………………..,……………………………….
Acknowledge by, Verified by, Approved by, Required by,

Project Manager Finance

1. FINANCE 2. PROJECT MANAGER 3. ARSIP
 FORM YG DI
1. REIMBURS
MONEY REQUEST 2. UANG CUT
3. PEMBAYA
NO. : …………./PT.TDU.-MR/………..……/…………/20…. PERKIRAAN/
4. PENGELUA
Date of Request : _________/___________/____________ Department : ___________________________

Division : _________________________________ Section : ___________________________

NO DESCRIPTION AMOUNT REMARK

GRAND TOTAL

IN WORDS :

……………………..,……………………………….
Acknowledge by, Checked by, Approved by, Required by,

Project Manager Finance

1. FINANCE 2. PROJECT MANAGER 3. ARSIP

 FORM YANG DIGUNAKAN UNTUK :
DAFTAR PERMINTAAN BARANG
PURCHASE REQUEST 1. PERMINTAAN PEMBELIAN ATAS KEBUTUHAN
2. TULIS JENIS PERMINTAAN (URGENT/REGULAR)
NO : ……………../PT.TDU-PR/………../………../20……. NO. URAIAN QTY SAT. KET.

Required by Department : LOGISTIK Division : LOGISTIK PURCASHING ALAT & PERLENGKAPAN KERJA
1 @2 roll
Destined to Section : Request of According to : BUDGET / INVESTMENT pita survey (merah, orange, biru)
2 4 pcs
Reason of Levying : …………………………………………………………………………………………… Date of Request : …………./………./20……...… pensil HB
3 2 pcs
…………………………………………………………………………………………… Date of Needed. : …………./………./20……...… penghapus karet
4 ballpoint 1 lsn
5 gunting 2 pcs
NO NAME OF WARE SPECIFICATION SERIAL/PART NUMBER QTY ESTIMATED PRICE REMARK 6 2 pcs
cutter + isi
1 7 penggaris 30 cm 3 pcs

2 8 penggaris besi 1 m 1 pcs

3 9 busur dan segitiga 1 pcs

4 10 lem kertas 1 pcs

5 11 parang 1 pcs

6 12 batu asah 1 pcs

7 13 tas lapangan 2 pcs

8 14 papan whiteboard ukuran medium 1 pcs

9 15 spidol waterproof 1 lsn

10 16 spidol whiteboard 1 lsn

11 17 penghabus whiteboard 1 pcs

12 18 APD 1 set

13 19 kaos tangan kain 1 pck

14 20 plastik sample 1 pck

15 21 clip board 3 pcs

16
17 PERLENGKAPAN MESS
18 22 lampu jari 20 W 2 pcs

19 23 lampu jari 10 W 2 pcs

20 24 lampu jari 8 W 2 pcs

21 25 keset rumah 2 pcs

22 26 terminal listrik isi 2 1 pcs

23 27 terminal listrik isi 3 2 pcs

24 28 selotip hitam 1 pcs

25 29 tong sampah 2 pcs

26 30 cermin 1 pcs

27 31 meja + kursi 4 set

28 32 ATK 1 set

29
30 ALKES & KBERSIHAN
31 33 catutan kuku 2 pcs

32 34 cotton bud 1 pack

33 35 obat obatan 1 set

34 36 pisau cukur 1 pack

35 37 sisir 2 pcs

36 38 soffel botol anti nyamuk 1 btl

37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56

Note :

……………………………., ……………………………………………
Acknowledge by, Checked by, Approved by, Required by,

Project Manager Logistic

1. PURCHASING 2. LOGISTIC 3. FINANCE & ACC. 4. ARSIP