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PURCHASE REQUISITION NO.

JOB No. : PR DATE :


ORIGINATOR : DELIVERY DATE :
DEPT. : COST CODE :

No Part Number Qty Unit Item Descriptions Unit Cost Total Amount Supplier

End Total
Note

Reviewed By Approved by

Dept Head/ Manager OM / GOM / CM


PT. AUSTIN ENGINEERING INDONESIA, Jl Mas Surya Negara, Kav. B2, Kawasan Industrial terpadu Kabil, Batu Besar-Batam, 29467, Indonesia, Phone +62 778 711 999

PRO-05-0010 Rev 3 Effective Date : 4 Feb 2021

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