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PT.

PANDURASA KHARISMA
Jln. Indokarya 2 Blok G No.5 Sunter Agung Podomoro
Jakarta Utara, 14340 Indonesia
Telp : 021-650 5335 Fax :021-650 5328

PURCHASE REQUEST FORM

No Dokumen : DOC-PR-2310160003 Nama Project : Ganti Filter Solar, Filter Oli,


Date : 16-10-2023
Department : Logistik

N Description Quantity Satuan Project Supplier Price Total


Ganti Filter Solar, Filter Oli,
SINAR SAFARI
1 Filter Oli 1 pc Filter Udara. User Soleh / B
MOTOR
100,000 100,000
9184 JR
Ganti Filter Solar, Filter Oli,
SINAR SAFARI
2 Filter Solar 1 pc Filter Udara. User Soleh / B
MOTOR
75,000 75,000
9184 JR
Ganti Filter Solar, Filter Oli,
SINAR SAFARI
3 Filter Udara 1 Pc Filter Udara. User Soleh / B
MOTOR
175,000 175,000
9184 JR

Total : 350,000.00

Managing Director
Inisiator Department Head Operation Director

(______________) (______________) (______________)


( Bpk. Roland Santoso)

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