Document Name Memo Pengajuan

Barang/Jasa

Printed by User PM
Printed Date 07-11-2022 15:11:07
Module Purchase Request

Mitra Mandiri Informatika Print Stamp PR-6ZFYD3UDDE

1

MEMO

Number : 0060/PR/BJB01/XI/2022
To : Division Leader / Regional Leader / Branch Leader
From : Division Leader / Regional Leader / Branch Leader
Disposition : -
Attachment : (set)
Subject : -

1. Background
The things that underlie the submission of goods/services, such as:
a. Business plan
b. Working Unit Assignment
c. Basic rules (SK, SOP, SE, or other provisions)
d. Reason for submission

2. Budget on the 2022 Business Plan

No Budget Type Cost Center COA Budget Rest Budget
Biaya Barang 200,000,000.0 299,802,000.0
1 CC-ARGA COA ARGA
& Jasa Lainnya 0 IDR 0 IDR

3. Nominal Procurement of Goods/Services and Delivery Location

The nominal procurement of goods/services PR untuk RFP dan RFQ Nanda is
Rp200.000.000 , as follows:

No Item Name UOM QTY Price

BANGUNAN 100,000,000.00
1 Lumpsum 2.00
KANTOR EDITED IDR

Delivery shipping address detailed below :

 Document Name Memo Pengajuan
Barang/Jasa

Printed by User PM
Printed Date 07-11-2022 15:11:07
Module Purchase Request

Mitra Mandiri Informatika Print Stamp PR-6ZFYD3UDDE

2

No Addrees Name

Shipping Addrees
1 JL TEBET RAYA 190 JL TEBET RAYA 190

4. Vendor
The providers of goods/services used in this procurement proposal are:
-

5. Supporting Document

No Document Name Document Type

1 User Manual KAI.docx Module Directors Decree
2 User Manual KAI.docx Modul Tor
3 User Manual KAI.docx Module Principle Permit

According this Memo is made to be used as necessary.