NO: Material/Service Requisition Form

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MATERIAL/SERVICE REQUISITION FORM

NO :

Department : Marketing Requisition Purpose :


Requisition Type : Sales Order √ # SO21.129-A
Material √ Work Order #
Service Office Supply

NO DESCRIPTION Size QTY Remark

1 Motor WEG 1 Unit => Supply untuk PT. KNI


Penawaran Vendor terlampir..
W21 Cast Iron Frame Motors
kw : 7.5
Voltage : 690 3 Phase
Hz : 50
RPM : 2925
Frame Size : 132 S
Mounting : B35

Balikpapan, 23 Agutus 2021

Requeseted by, Checked by, *Verified by, Approved by,

Putrii Sn
MATERIAL/SERVICE REQUISITION FORM
NO :

Department : Marketing Requisition Purpose :


Requisition Type : Sales Order √ # SO21.169-A.PHKT (LAWE-LAWE)
Material Work Order #
Service √ Office Supply

NO DESCRIPTION Size QTY Remark


Maintenance & Repair for Laboratory Lawe-Lawe Instrument

Waterbath Merk: Thermo Electron,


Type: 180 Series Waterbath Precision, S/N: -
1
Spare Part : Electrical Terminal Socket ( Spare Part Original
1 EA
Discontinue) Modifikasi Electrical Terminal Socket

Balikpapan, 21 Oktober 2021

Requeseted by, Checked by, *Verified by, Approved by,

Putrii Sn Hendra F / Renghat R Haris Sugianto


MATERIAL/SERVICE REQUISITION FORM

NO :

Department : Project Requisition Purpose :


Requisition Type : Sales Order
Material √ Work Order
Service Office Supply √

NO DESCRIPTION Size QTY Remark


Alat Pel kemarin dipinjam untuk
1 Alat Pel set (Untuk Musholla) 1 set
Project

Balikpapan, 12 November 2021

Requested by, Checked by, *Verified by, Approved by,

______________ ___________________________ ______________ ______________________________


Ogy Risky Juwantoro Renghat Rumahorbo Haris Sugianto

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