RUMAH SAKIT Purchase

ISLAM Order
LUMAJANG
Jalan Kyai Muksin 19, Lumajang, 67312
Telp : 0334-887999, 893535 (hunting), Fax : P.O. Number :
0334-890425 PO/03/IV/2019
e-mail : rsi_lmj@yahoo.com
NPWP : 02.397.211.0-651.000 Date :
10 APRIL 2019
Issued To : Authorized by :
PT. Sinar Roda UTAMA dr.Erfina Rokhmah
Jalan Prof. Dr. Moestopo no. 93 Delivery Date :
Surabaya Indonesia
Page :
1 of 1

Discount Ppn 10
No Description Qtt Harga Harga + Ppn 10%
10% %
PDC 225W2’’ DIRECT 1 441.000
1 4.900.000 4.410.000 4.851.000
THERMAL PRINTER unit

Sub
Total
Total Rp. 4.851.000,-

Direktur RSI
LUMAJANG

Employe Date 10 April 2019

Signature