Pyare WN Oni one FLEET MANAGEMENT - MEWS Section 1 ~ Filled by SCM Business Support Company Name & Contract No: PT. Sentra Karya Mandiri & Contract No : BH2101400co Contract Start Date: 8 May 2021. Contract Service End Date: 30 Nov 2021 ‘Transportation - Light Vehile /Bus Fuel No. Trucks Fuel No. Mobile Equipment ‘oom | tes | Foe Fuel Beck Charge | Quote | Used Back charge | Quote | Used Beck Charge Account Code Checked by Sign & Date: Section 2 ~ ried by Requestor Here with the undersigned, request additional essential equipment for: Gi Replacement (fill below data) Type of Request Vehicle Number: License Plate (New/Replacements*): I New Vehicle (incl vehicle offsite during Full Restriction period) —_ Vehicle Type: Light Vehicle Bus [tight Truck Others Equip ( Genset 25 Kva ) Vehicle Status: Owned Vehicle License Plate #: *asached Copy of TK Equipment Brand Model (crampe: Toyota, Mitsubishi) Kobuta (cantar nora Piero) | CONSE 25 Kva Reason of additional vehicle | Support Installation New Standart Fence Duration StartDate | 8May-2021 | Finish Date | 30 Nov 2021 User Department Project Development Contractor Site Manager APPROVAL DATE 13. 09-202), Contractor Reps On Site End User Dept Mgr. / Sr. Mgr. Site Crisis Lead DOKUMEN INI TIDAK DIKONTROL DALAM FORMAT HARDCOPY THIS DOCUMENT IS UNCONTROLLED IN HARDCOPY FORMAT