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FORM BERITA ACARA

Check List

Wooden
NO CMN Return No. RMA No. PN No. RE (Terima/Tolak)
Label PN/SN Packing
Terbakar Bengkok Patah/ Pecah Korosi Ada Box Kelengkapan Item
Terbaca

YES NO YES NO YES NO YES NO YES NO YES NO YES NO


1 SR_PMK20200429009 IDREQ-20200428-0025 NSN-084792A OPEN BOX

2 SR_PMK20200429009 IDREQ-20200428-0033 NSN-ALU:3EM23911BB OPEN BOX

3 SR_PMK20200429009 IDREQ-20200424-0004 NSN-ALU:3EM23911BB OPEN BOX

4 SR_PMK20200429009 IDREQ-20200422-0023 NSN7217702 NOT OPEN BOX

5 0 0 0 0

6 0 0 0 0

7 0 0 0 0

8 0 0 0 0

Keterangan:

Pengirim Penerima

Nama : Nama :
Tanggal & Waktu : Tanggal & Waktu :

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