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-2310120003 Nama Project : Ganti Oli Mesin

Date : 12-10-2023 User & Nopol : Didah - B 1504 UIB
Department : Sales Retail Terakhir Ganti : 26 - 06 - 2023

N Description Quantity Satuan Project Supplier Price Total

SINAR SAFARI
1 Oli Filter 1 Pcs Service
MOTOR
35,000 35,000

2 Oli Mesin 1 Pcs Service

SINAR SAFARI
350,000 350,000
MOTOR

Total : 385,000.00

Managing Director
Inisiator Department Head Operation Director

(______________) (______________) (______________)

( Bpk. Roland Santoso)