MPR 2D Amalia

LAMPIRAN B
FORMULIR F06 - 02/R0

No.
MATERIAL / PURCHASE REQUISITION
REQUISITION BY : DATE : DATE NEEDED :

UNIT ACTIVITY 2D AMALIA 5-Dec-23
SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :
REFF. TO : Untuk keperluan kantor

QTY FILLED BY STOREKEEPER
NO. PART NO. DESCRIPTION / TYPE UNIT
REQUIRED QTY IN STOCK SHORTAGE
1 Kertas F4 1 Pack 350,000 350,000

2 Kertas A4 1 Pack 340,000 340,000
3 Amplop coklat tali 1 Pack 20,000 20,000
4 Map Biola 1 Pack 35,000 35,000
5 Amplop Plastik Tali 1 Pack 20,000 20,000
6 Pena 3 Ktk 25,000 75,000
7 Post it 2 Pcs 10,000 20,000
8 Sign Here 2 Pcs 10,000 20,000
9 Spidol Boardmaker 1 Ktk 120,000 120,000
10 Spidol Permanent 1 Ktk 150,000 150,000
11 Binder klip ( campuran ) 3 Box 30,000 90,000
12 Paper klip 1 Box 50,000 50,000
13 Staples + isi 3 Set 25,000 75,000
14 Papan Ujian 5 Pcs 10,000 50,000
15 Pena Balliner 3 Pcs 20,000 60,000
16 Lem kertas 1 Ktk 100,000 100,000
17
18
19
20
21
22
23
24
25
26
27
28
29
30 TOTAL 1,575,000
31
STRORE CHECKED BY
STOREKEEPER
APPROVED BY : REQUISTED BY :
Andi Mhari Adhitya ...........................

Party Chief A5.31 ADM
LAMPIRAN B
No.

UNIT ACTIVITY VIBROSEIS EOR 27-Aug-23
REFF. TO : HUMAS
1 Mouse wirelles 2 Pcs 175,000 350,000

2 Helm 2 Pcs 225,000 450,000
3 Papan klip board 2 Pcs 10,000 20,000
4 White board 1 Pcs 25,000 25,000
5 Spidol boardmaker 2 Pcs 10,000 20,000
6 Pena 1 Ktk 20,000 20,000
7 Amplop coklat 1 Pack 15,000 15,000
8 Kwitansi 2 Pcs 10,000 20,000
9 Flashdisk 1 Pcs 120,000 120,000
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30 TOTAL 1,040,000
31
STRORE CHECKED BY
STOREKEEPER
Andi Mahri Adhitya ...........................

Party Chief Adm
LAMPIRAN B
No.

REFF. TO : HUMAS
1 Printer Epson 1 Pcs 2,500,000 2,500,000

2 Plasdisk Sandisk 1 Pcs 120,000 120,000
3 External Hardisk 1 Tera 1 Pcs 1,000,000 1,000,000
TOTAL 3,620,000
STRORE CHECKED BY
STOREKEEPER
Andi Mahri Sutardi ...........................

Party Chief Chief Humas
LAMPIRAN B
No.

REFF. TO : HUMAS
1 Kertas F4 1 Pcs 350,000 350,000

2 Tas Ransel (untuk Sosisalisasi) 1 Pcs 350,000 350,000
3 Map Biola 1 Pack 35,000 35,000
4 Amplop Plastik Tali 1 Pack 20,000 20,000
5 Pena 3 Kotak 25,000 75,000
6 Pena Gel Biru 1 Kotak 30,000 30,000
7 Post it 2 Pcs 10,000 20,000
8 Sign Here 2 Pcs 10,000 20,000
9 Spidol Boardmaker 1 Kotak 120,000 120,000
10 Spidol Permanent 1 Kotak 120,000 120,000
11 Binder klip ( campuran ) 2 kotak 30,000 60,000
12 Paper klip 3 Kotak 5,000 15,000
13 Staples + isi 3 Set 25,000 75,000
14 Papan Ujian 3 Pcs 10,000 30,000
15 Lem kertas 1 Kotak 100,000 100,000
16 Kwitansi 3 Pack 55,000 165,000
17 Gunting 1 Pcs 10,000 10,000
18 Pembolong kertas 1 Pcs 20,000 20,000
19 Bantex File 3 Pcs 25,000 75,000
20 Tempat Pena 1 Pcs 10,000 10,000
21 Amplop 1 Pack 55,000 55,000
22 Buku Kecil 3 Pack 50,000 150,000
TOTAL 1,905,000
STRORE CHECKED BY
STOREKEEPER

LAMPIRAN B
No.

REFF. TO : HUMAS
1 Jas Hujan 3 Pcs 100,000 300,000

2 Botol air minum 5 Pcs 15,000 75,000
3 Helm Motor 2 pcs 200,000 400,000
TOTAL 775,000
STRORE CHECKED BY
STOREKEEPER

LAMPIRAN B
No.

REFF. TO : HUMAS
1 Tas 2 Pcs
2 Sepatu 2 pcs
( untuk : An. Sutardi ( Chief Humas )
An. Kolonel Inf R. Immanuel Tjandra (Security Officer)
TOTAL
STRORE CHECKED BY
STOREKEEPER

LAMPIRAN B
No.

REFF. TO : HUMAS
1 Helm Motor 2 Pcs 250,000 500,000

2 Papan White Board 2 pcs 120,000 240,000
3 Penggaris 2 Pcs 20,000 40,000
4 Penghapus Papan whiteboard 2 Pcs 7,000 14,000
TOTAL 794,000
STRORE CHECKED BY
STOREKEEPER

LAMPIRAN B
No.

REFF. TO : HUMAS
1 Banner ukuran 1,5x3 m (untuk Sosialisasi ) 1 Pcs 300,000 300,000

0
0
0
TOTAL 300,000
STRORE CHECKED BY
STOREKEEPER

LAMPIRAN B
No.

REFF. TO : HUMAS
1 Kalkulator print 1 Pcs 350,000 350,000

2 Bantex file 3 Pcs 25,000 75,000
3 Plasdisk ( untuk SO) 1 Pcs 120,000 120,000
0
TOTAL 545,000
STRORE CHECKED BY
STOREKEEPER

LAMPIRAN B
No.

UNIT ACTIVITY 2D AMALIA 5-Jan-24
REFF. TO : HUMAS
1 Infokus Epson 1 Pcs 0

2 Speaker Wirelles 1 Pcs 0
3 Microphone Wirelles 1 Pcs 0
0
TOTAL 0
STRORE CHECKED BY
STOREKEEPER


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LAMPIRAN B

FORMULIR F06 - 02/R0

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

REFF. TO : Untuk keperluan kantor

1 Kertas F4 1 Pack 350,000 350,000

Andi Mhari Adhitya ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Mouse wirelles 2 Pcs 175,000 350,000

Andi Mahri Adhitya ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Printer Epson 1 Pcs 2,500,000 2,500,000

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Kertas F4 1 Pcs 350,000 350,000

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Jas Hujan 3 Pcs 100,000 300,000

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Helm Motor 2 Pcs 250,000 500,000

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Banner ukuran 1,5x3 m (untuk Sosialisasi ) 1 Pcs 300,000 300,000

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Kalkulator print 1 Pcs 350,000 350,000

Andi Mahri Sutardi ...........................

MATERIAL / PURCHASE REQUISITION

REQUISITION BY : DATE : DATE NEEDED :

SUGGESTED VENDORSUPPLIER : ACCOUNT CODE :

1 Infokus Epson 1 Pcs 0

Andi Mahri Sutardi ...........................

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