DAFTAR TIMBANG No.

Terima dari
: ..........….........................................................................................................................................................................................
Untuk

Nama Barang : …...................................................................................................................................................................................................

Bruto
…....................... Karung . Berat ….................................................................................................................... Kg
Netto

No Container : Truck Nopol :

No Seal :

(…...................................................Kg …...................................................Kg …...................................................Kg …....................................................Kg)

Banyak :…...…...................................

Berat Bruto :….........................................Kg.

Tara :….........................................Kg.

Netto :….........................................Kg.

Surabaya, …....................................... 20….......

t. t. t. t.

Pengirim / Penerima, Pengurus Gudang,

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