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1/17/23, 3:38 PM LCLOUD - Kusnadi Darmawan

Purchase Requisition Form

Draft General Approval


  Approve

HO OD HO OD
Kusnadi Darmawan St… Ary Purnama Nugraha…
2023/01/11 2023/01/11

    Setyo Warsono (HO,Country Director)     Stephanie Hellyanti Wimono (HO FD,Manager)     Jarot
Referrers Purwotrihono (HO,Manager)     od (HO OD,)     auditgni (HO IA,)     Mathilda Antoinette Buisan (H
O,Board Member)

Cabinet referrer There is no set referrer information.

Approval Details

Approval Ty
Step Approver Status Date Comment
pe

N/A Draft Kusnadi Darmawan Draft 2023/01/11 12:25:16

General Ary Purnama Nugrah Approv


01 2023/01/11 14:09:19 OK
Approval a e

Referenc Referenc
N/A od 2023/01/11 14:09:20
e e

Referenc Referenc
N/A auditgni 2023/01/11 14:09:20
e e

Referenc Referenc
N/A Setyo Warsono 2023/01/11 14:09:20
e e

Referenc Stephanie Hellyanti Referenc


N/A 2023/01/11 14:09:20
e Wimono e

Referenc Referenc
N/A Jarot Purwotrihono 2023/01/11 14:09:20
e e

Referenc Mathilda Antoinette Referenc


N/A 2023/01/11 14:09:20
e Buisan e

Drafter HO OD Kusnadi Darmawan Drafting Date 2023/01/11 12:24:35

Approval Documen
HO OD - Purchase Requisition Form - 23 - 2736
t Number

4890-010 - Purchase Requisition Form - Local Designated ( PT. Cikarang Listrikindo 2022) - Child Em
Title
powering Services II

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1/17/23, 3:38 PM LCLOUD - Kusnadi Darmawan

Project Name Head Office

Project Number IDN-0101-06HO-2

Refference Number 4890-010

Prepared Date 2023/01/11

Date of Goods/Serv
2023/01/27
ice Needed

Item Specifi Package Qt Package Uni Estimated U Estimated T


No. Item Name Qty. Unit
cation y. t nit Price otal Price
Internet co Electrical d
1 11 pack 1 time 52,000 572,000
sts ata pulse
T-shirt GNI
2 (Hadiah Qu pcs 5 pcs 1 time 100,000 500,000
iz)
shipping co
3 pack 5 pack 1 time 20,000 100,000
sts

1,172,000

Attach  TOR Program Layanan Pemberdayaan Anak tahap 2.docx(140KB)

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