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PURCHASE REQUISITION

REQUISITION FOR:(TICK BOX) CONTRACT LABOR CONTRACT NO. REQUISITION NO.


MATERIAL  SPARES TRANSPORT 4710002884 2022/EPR00165/SM/Y
REPAIR RENTAL OTHERS DEPARTMENT: Sales & Marketing PAGE: 1 of 1
PROPOSED VENDOR: DELIVER TO:
Ibu Olivia Marianne Sylvania
ATTENTION TO:
Yulianto
DATE REQUIRED: 03/Nov/2022 BUDGETED MODE OF Land PRIORITY NORMAL
 UNBUDGETED TRANSPORT:  URGENT
MINIMUM CURRENT QUANTITY DESCRIPTION CATEGORY REMARKS
STOCK STOCK
0.0 0.000 6.0 Ea Jackets PHE WMO, size L N

0.0 0.000 4.0 Ea Jackets PHE WMO, size LL N

0.0 0.000 4.0 Ea Jackets PHE WMO, size M N

0.0 0.000 12.0 Ea Jackets PHE WMO, size XL N

0.0 0.000 3.0 Ea Jackets PHE WMO, size XXL N

ESTIMATED VALUE OF THIS REQUEST (a) 0.0 PROJECT USE / SCOPE OF WORK:
AVAILABLE BUDGET (b) 0.0 FOR CUSTOMER: PT. Pertamina Hulu Energi West Madura Offshore
REMAINING BUDGET (c) = (b)-(a) 0.0 for customer / Request by PHE WMO
Charge back as cargo handling services
JR No. PHE-1122-00..
ADDITIONAL / SPECIAL INSTRUCTIONS: APPROVED BY Dirhan DATE 04/Nov/2022
HOD
REQUESTED Yulianto DATE 03/Nov/2022 APPROVED BY David Lim DATE
BY CEO
Account Code (Category) Legend : FORM NO: 01-FIN-PUR-SOP04, REV:01
A - Assets C - Consumables I - Inventory S - Service

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