Subcontractor Materials Reconcilation Form

Subcontractor：PT. AGUNA SATYA MULYA Witel: PONTIANAK Date:

Pengadaan Penarikan Dan Pemasangan OSP FO Node-B Site KTP102 Ketapang WITEL KALBAR
MRF No.：FH-ASM-…............-…..............
Num PO Num Site Name Site ID
1 ID-TA-AGUNA-0482-OS KTP118 REG06-0633
2 ID-TA-AGUNA-0472-OS KTP067 REG06-0632
3 ID-TA-AGUNA-0471-OS KTP066 REG06-0631
4 ID-TA-AGUNA-0454-OS KTP107 REG06-0640
5 ID-TA-AGUNA-0455-OS KTP107-01 REG06-0640-01
6 ID-TA-AGUNA-0456-OS KTP107-02 REG06-0640-02
7 ID-TA-AGUNA-0457-OS KTP107-03 REG06-0640-03
8 ID-TA-AGUNA-0458-OS KTP107-04 REG06-0640-04
Here only mention 1. positive no.
1. Materials taken mateirals quantity Materials lend to means materials lost
Description from FH warehouse Materials Quantity already returned to FH other subcon, must Materials still in by subcon
Explanation of GAP
2. Materiasl taken in as built BOQ warehouse, if materials have BA of subcon wareshoue 2. negative
from other subcon not yet return, mention materials handover no.means maetials
in actual stock overlap

Materials Quantity Materials Quantity Materials Returned Materials lend to

Code Description Unit Actual Stock GAP Remark
in MRF in as built BOQ Quantity other subcon

8 FNA-TA-04 Telephone Pole 7 Meter PCS 18 18 0 0

101 m FH's Material, return to WH
10 FNA-TA-23 40/33 HDPE M 34,000 33,899 101 0
Ketapang (small cut)
55 m FH's Material, return to WH
15 GYTA-12 DC-OF-SM-12D M 1,100 1,045 55 0
Ketapang (small cut)
2,776 m FH's Material, return to WH
16 GYTA-24 DC-OF-SM-24D M 36,000 33,224 2,776 0
Ketapang (small cut)
130 m FH's Material, return to WH
23 GYTC8A-12 AC-OF-SM-12D M 800 670 130 0
Ketapang (small cut)

Subcontractor Project Manager Fiberhome Project Manager

Name: Name: Zheng Huining