RUMAH SAKIT ISLAM Purchase

LUMAJANG Order
Jalan Kyai Muksin 19, Lumajang, 67312
Telp : 0334-887999, 893535 (hunting), Fax : 0334-890425 P.O. Number :
e-mail : rsi_lmj@yahoo.com PO/04/IV/2019
NPWP : 02.397.211.0-651.000 Date :
4 MEI 2019
Issued To : Authorized by :
PT. KAHAR DUTA SARANA dr.Erfina Rokhmah
Jalan Kayun No 11A-B Delivery Date :
Surabaya Indonesia
Page :
1 of 1

Harga
No Description Ket Qtt Total Harga
Satuan
1 Label printer 1 roll @ 2000 pcs 50 roll 70.000 3.500.000
2 Ppn 10 350.000

Total 3.850.000

Direktur RSI
LUMAJANG

Employe Date 4 MEI 2019

Signature