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IMM/LOG/F-012

NUMBER CREATION DATE 26 Mar 22


DISTRICT INDO PURCHASE REQUISITION REQUIRED DATE 28 - 31 maret 2022
DEL. PLACE / POINT AC. CODE / WO NO
Description 1 Description 2 Description 3 Description 4 ESTIMATED
QTY UOM
NO MANUFACTURER MNEMONIC Part Number Item Name Technical Specification Capacity Attachment / Accessories Unit Price
Total Price
(12) Rp
a. 2 dus/hari di barak 25
selama 3 hari
1 Aqua botol @600 ml b. 3 dus/hari selama 4 18 box Rp75.000 Rp1.350.000
hari di hotel akbar
bontang.
a. 23x2 per hari di barak
25 camp 2000 selama 3
hari
2 Snack @Rp 12,000 354 box Rp12.000 Rp4.248.000
b. 27x2 per hari selama 4
hari di hotel akbar
bontang
a. 23 x 3 hari di barak 25
Camp 2000
3 Packmeal special @Rp 42,000 177 box Rp42.000 Rp7.434.000
b. 27 x 4 hari di hotel
akbar bontang

Requested By
Reason for request : Panitia Vaksin Booster VGR
Agreed : Rp13.032.000,00

Disagreed :
,
Request By, Approved By, Authorized Person,

Muhammad Fachrudin Athfi Ghufron Faqih Arrie Herdianto

HCD Sect. Head HC Dept Head Project Manager

Revisi : 1

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