PT.

SUMBER ALAM SEKURAU MR

Graha Irama 6th Floor, Suite A-B Jl. H.R. Rasuna Said Blok X-1 Kav. 01-02 Jakarta 12950 Indonesia
MATERIAL RECEIVE
Tlp : 021-521 3711, Fax : 021-526 1217

MATERIAL RECIEVE NO. PO NUMBER VENDOR NAME INVENTORY TYPE CHECK BY

MR.16 STOCK NON STOCK

RECIEVED DATE USER

.............................................…………………………………………
RECIEVED BY DELEVERY ORDER NO EXSPEDITION PURCHASE TYPE APPROVAL BY
COMPLET
PARTIAL
E

………………………………

NO QTY Unit DESCRIPTION UNIT PRICE TOTAL PRICE LOCATION

1 -
2
3
4
5
6
7
8

NOTE :

Form : 07/Procurement/SAS/rev-0
 PT. SUMBER ALAM SEKURAU MI
Graha Irama 6th Floor, Suite A-B Jl. H.R. Rasuna Said Blok X-1 Kav. 01-02 Jakarta 12950 Indonesia
Material Issue
Tlp : 021-521 3711, Fax : 021-526 1217

MATERIAL ISSUE NO. CREATE DATE AUTHORIZED APPROVAL BUDGET & CONTROL PRIORITY

MI.160-
INITIATOR ESTIMATED COMPLETION DATE
…………………………………………
DEPARTMENT MANAGER'S APPROVAL DATE : APPROVAL I M STATUS

Sign SECTION
………………………………. …………………………….. DATE:

NO QTY UOP Stock Code DESCRIPTION UNIT PRICE TOTAL PRICE STOCK CATEGORIES

-
-

-
Use For :

Charged to Account Code : TOTAL AMOUNT - CARD DECK NO.

*Untuk menghindari kesalahan, harap lampirkan gambar rencana, spesifikasi, atau keterangan-keterangan lain untuk mejelaskan Permintaan anda
FILL BY WAREHOUSE FILL BY USER
SERVICING DEPARTMENT FOR REPEAT ORDER ISSUED MATERIAL NO : RECEIVED BY
PREVIOUS J.O. NO. PREVIOUS SPV. MI.160-
I.M. RECEIVED DATE Sign
/ /
REMARKS PRICE ESTIMATE DELIVERED BY I.M. COMPLETED AT
Sign NAME :
KETERANGAN PENUNJANG LAIN DATE : / /
…………………………..
Form : 08/Procurement/SAS/rev-0

PT. SUMBER ALAM SEKURAU MI

Graha Irama 6th Floor, Suite A-B Jl. H.R. Rasuna Said Blok X-1
nknd Material Issue
Tlp : 021-521 3711, Fax : 021-526 1217

MATERIAL ISSUE NO. CREATE DATE AUTHORIZED APPROVAL BUDGET & CONTROL PRIORITY

MI.160- / /
INITIATOR ESTIMATED COMPLETION DATE
…………………………………....
DEPARTMENT MANAGER'S APPROVAL DATE : APPROVAL
I M STATUS

Sign SECTION
………………………………. …………………………….. DATE:

NO QTY UOP Stock Code DESCRIPTION UNIT PRICE TOTAL PRICE STOCK CATEGORIES

-
-

-
Use For :

Charged to Account Code : TOTAL AMOUNT - CARD DECK NO.

*Untuk menghindari kesalahan, harap lampirkan gambar rencana, spesifikasi, atau keterangan-keterangan lain untuk mejelaskan Permintaan anda
FILL BY WAREHOUSE FILL BY USER
SERVICING DEPARTMENT FOR REPEAT ORDER ISSUED MATERIAL NO : RECEIVED BY
PREVIOUS J.O. NO. PREVIOUS SPV. MI.160-
I.M. RECEIVED DATE Sign
/ /
REMARKS PRICE ESTIMATE DELIVERED BY I.M. COMPLETED AT
Sign NAME :
KETERANGAN PENUNJANG LAIN DATE : / /
…………………………..

Form : 08/Procurement/SAS/rev-0
 PT. SUMBER ALAM SEKURAU
Graha Irama 6th Floor, Suite A-B Jl. H.R. Rasuna Said Blok X-1 Kav. 01-02
JR
Jakarta Selatan 12950 Indonesia Tlp : 021-521 3711, Fax : 021-526 1217
JOB REQUEST
JR NO. JR DATE USER
SECTION DEPARTMENT
JR-1701.006. 19-Apr-17
ENGINEERING ENGINEERING

JOB SITE PRIORITY DIC (DEPT. IN CHARGE)

SECTION DEPARTMENT
✘ URGENT
PLTU SEKAYAN
REGULAR ENGINEERING PKN ENGINEERING PKN

NO DESCRIPTION QTY UOM COST ESTIMATE DUE DATE

1 Claim pipa 2 pcs 10 JAM

Keperluan mengangkat motor deep well nomor 2

2 Webbing 10 JAM

untuk membongkar deep well

TOTAL COST

SPECIAL INSTRUCTION :

FILL BY USER APPROVED BY

INITIATOR PLANT MANAGER SPT ENGINEERING MANAGER

Dani Abdullah M HADITYA ENDRAKUSUMA BERNARD IDAMAN BAYU GURIYAGA

Form : 04/Procurement/SAS/rev-0
 PT. SUMBER ALAM SEKURAU IR
Graha Irama 6th Floor, Suite A-B Jl. H.R. Rasuna Said Blok X-1 Kav. 01-02
INVESTMENT REQUISITION
Jakarta Selatan 12950 Indonesia Tlp : 021-521 3711, Fax : 021-526 1217

INV. REQUEST NO. REQUEST DATE FIN AND BUDGET CONTROL BUDGET & CONTROL PRIORITY
Non- TOP
Budgeted
budgeted URGENT
CapEx OpEx ✘ URGENT
INITIATOR ESTIMATED COMPLETION DATE FINANCE DEPT. HEAD ✘

ERWIN SAPTADI NOTE : REGULAR

DEPARTMENT MANAGER'S APPROVAL ASSET TYPE
IF UNBUDGET / NON- BUDGETED
Sign SECTION USER DEPT. HEAD FIXED ✘ FLEXIBLE
HADITYA ENDRAKUSUMA DATE:

NO QTY Unit DESCRIPTION UNIT PRICE TOTAL PRICE INVESTATION CATEGORIES

1 - Building
2
Machine

-
Tools
-
-
Facility / Utility
-
-
Others
-
-
-
-
-
-
-
-
-
-
-
-

Use For : Untuk persiapan pekerjaan shutdown dan pembuatan Rak warehouse

Charged to Account Code : TOTAL AMOUNT -

*Untuk menghindari kesalahan, harap lampirkan gambar rencana, spesifikasi, atau keterangan-keterangan lain untuk mejelaskan Permintaan anda
FILL BY PROCUREMENT DEPT. APPROVED BY
DOCUMENT. REF PRESIDENT DIRECTOR DIRECTOR DIRECTOR
SERVICING DEPARTMENT

DATE :

PROCUREMENT. MGR REMARK JEFFREY MULYONO TRIA SUPRAJENI

MUH. ASYIKIN
Form : 03/Procurement/SAS/rev-0
 PT. SUMBER ALAM SEKURAU PR
Graha Irama 6th Floor, Suite A-B Jl. H.R. Rasuna Said Blok X-1 Kav. 01-02 PURCHASE REQUISITION
Jakarta Selatan 12950 Indonesia Tlp : 021-521 3711, Fax : 021-526 1217

REQUEST NO. REQUEST DATE AUTHORIZED APPROVAL BUDGET & CONTROL PRIORITY
Budgete Non- TOP
d budgeted URGENT
INITIATOR ESTIMATED COMPLETION DATE CapEx OpEx URGENT
Haditya Endrakusuma REGULAR
DEPARTMENT DIRECTOR APPROVAL REPEAT ORDER
HM / KM
SECTION YES NO
Tria Suprajeni DATE:

NO QTY Unit DESCRIPTION UNIT PRICE TOTAL PRICE PURCHASE CATEGORIES

1 6 sabu cuci tangan cair bks #VALUE! Mechanical Parts

2 6 sabun cuci piring bks #VALUE! Electrical Parts

3 12 sabun pembersih lantai bks Civil Parts

4 12 sabun pembersih kaca bks Safety, Health & Enviro

5 10 tisu gulung gulung Groceries

6 6 kapur barus ball bks Office Supply /
Stationery
7 10 kopi kg Fuel
8 6 teh bks
Lubrication
9 3 gula pcs
Chemical
10 6 anak straples pcs
Others
11 3 stepo pcs
12 2 guntung kertas pcs
13 3 mata cutter kotak
14 4 Kertas A4 Rim
15 2 KERTAS A3 Rim
16

17

18

19

20

21

22

23

24

Use For :

Charged to Account Code : TOTAL AMOUNT #VALUE!

*Untuk menghindari kesalahan, harap lampirkan gambar rencana, spesifikasi, atau keterangan-keterangan lain untuk mejelaskan Permintaan anda
FILL BY PROCUREMENT DEPARTMENT FILL BY USER
FOR REPEAT ORDER PURCHASE REQUISITION NO RECEIVED BY
SERVICING DEPARTMENT
PREVIOUS J.O. NO. PREVIOUS SPV.
P.R. RECEIVED DATE
/ /
REMARKS PRICE ESTIMATE DELIVERED BY PR COMPLETED AT
NAME :

DATE : / /
Sea/Riv
………………………….. Land Air
er
Form : 02/Procurement/SAS/rev-0