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No. Dok : FM-PRC-01.

03
FORM
Revisi : 00
Tgl Efektif -
PURCHASE REQUEST
-
PR NO. PROJECT : Mesjid Al Huda CUSTOMER : ISSUED DATE : 10/30/2022
BQ NO. DEPT. :Project TIME ARRIVAL : ASAP Rev. Item No. : PAGE : of
NO DESCRIPTION DIMENSION/SIZE SPECIFICATION QTY UNIT REMARK

1 Dynabolt M18x40 M18x125 20 pcs Rp300,000 15000


2 Lever Block 1,5ton x 3m 2 pcs Rp4,200,000 2100000
3 Wire Sling 12mm 20 M Rp500,000 25000
4 Tambang Dadung 14 mm 1 Rol Rp250,000 250000
5 Kunci Rachet double 17 x 21 1 pcs Rp320,000 320000
6 Sarung Tangan alas karet 15 pcs Rp120,000 8000
7 Mata bor 18 x 260 1 pcs Rp100,000 100000
8 5000
9 5000
10 30000
11 15000
Total Harga Rp5,790,000
Requested by : Approved by Head Department : Received by PPIC : Approved by Purchasing : Distribution copy document to :
1. Purchasing
2. PPIC
Nama :Yudi Rachman Nama :Safrudin Nama : Nama : 3. User
Date :################# Date : Sunday, October 30, 2022 Date : Date :

Urgent
Not Urgent
Sudah Dikali QTY

Rp0

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