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PURCHASE REQUISITION

To : PR Date :

Requested by, : User / Dept :

Date of Required, : ASAP

L. PR
Type of Requested :

Please order the following item to be delivery by,

No. Part Number Full Description Unit Price Amount


Qty Remarks
Item

Total Rp.

Note :

Requested by, Verified By, Approved by, Received by,

SUKARSO
Procurement / GA Affair

F.APE.GA.001-2

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