F-7.2.

3-02-04

DELIVERY REQUISITION
Field by Marketing / Sales
Date: 07 November 2017
From : Andhika Pribadi
Customer Name : CV. Jaya Konstruksi
Project Name : Pembangunan Sistem Pengendali Banjir Periuk Damai
Pick Up Place : Gudang AIC /PT.Gsi

Please provide the materials with details as follow:

1. Product / Material:
a. Vinyl Sheet Pile
b.
c.
d.
e.

2. Type / Spesification:
a. GW - 610 / 6.4 - 5,95 m
b. Lebar =0,606 m
c. Panjang =5,950 m
d. Tebal =6,4 mm
e.

3. Quantity:
a. 11 pcs
b. 39,663 m2
c.
d.
e.

4. Place of Delivery / Pick Up : Jl. Mutiara Pluit Utama, Komp Mutiara Pluit Kec. Periuk, Kota Tangerang

5. Delivery Target : Rabu 08 November 2017

6. Packing / Marking :

7. Term of Payment :
Signature
8. Remarks :

PIC: Andhika Pribadi

0811 1000 566
Andhika Pribadi
Name

Field by Procurement

Date:
1. Forwader Name :

2. Delivery/Pick Up Schedule :

3. Remarks :
Signature

____________________________
Name