SERVICE ORDER REQUEST

Client / Co. Name : PT. SUMBAWA TIMUR MINING S.O. No. : SEU-005-SOR-2203-0062
Project Description : EPCM Water Distribution Line & Storage System Revision : 0
Project Location : Hu'u S.O. Date : 05 April 2023
Cost Code : 2203 Originator : Fathurrohman Noval H

Quantities DELIVERY
Any Certificate BUDGET CHARGE
No UOM ITEM DESCRIPTION / SPECIFICATION (include Brand / Manufacture) REMARKS
Request Stock Purchase Required ? DATE PLACE COST TO

Sewa Total Station Periode 1 - 12 April 2023 :

1.1 MERK : TOPCON Type : OTS 102 N

Kelengkapan : Hu'u -
1 12 - 12 Day ASAP CV GIYAFE SURVEY
1. Tripot : 2 Unit Sumbawa
2. Prisma ADS : 1 Unit
3. Prisma AK : 1 Unit
4. POLI : 1 Unit

Sewa Auto Level Periode 1 - 12 April 2023 :

2.1 MERK : TOPCON Type : AT-84 Hu'u -

2 12 - 12 Day ASAP CV GIYAFE SURVEY
Kelengkapan : Sumbawa
1. Tripot : 1 Unit
2. Rambu Ukur : 1 Unit

Checked by, ( Requestor ): Approved by, ( Project Manager ) Received, by ( Procurement ) :

Signature : Signature : Signature :

Name : Fathurrohman Noval H Name : Yerri Intarto Name : Dwi Hanjaya Z

Date : 20/11/2022 Date : Date :

PT. SARKU ENJINEERING UTAMA Page 1 of 1 SEU-005-SOR-2203-0062