Form No.

LOG/09/F-009

WAREHOUSE RESERVATION
NO: 2446966
Document Date : 15 August 2023 Created Date : 15 August 2023
Time : 09:50:15 Requirement Date : 15 August 2023
Req. Type : Repair Maintenance Order : 2400291131
District : SIS-ADMO Hauling Equipment No. : FT020-0069
Version : 28 Cost Center :
Requestor : MANYU KUMBA ANARKY WBS Number :
Delivery Location : SIS-ADMO Hauling,Hauling Road Related PR :
KM 35 Adaro,,,12430 Barcode :

Act:  = Install
R = Return

No. Material No. Description SP Qty Qty to UOM Sloc Storage Bin Avl. on Act
Type. Req/Avl. Acquit. Other
After District
1 EC2110-20 HOSE SAE100 P 1000/1000- MM MH01 0
R2AT/2SN,NEW,HYDR
O POWER

Total Amount : USD 20.00

Comment Or Special Instruction

KM35 - EC2110-20

Issued By/Date Received By/Date Acquitted By/Date Install/Return By/Date

(Warehouse) (User) (Warehouse) (User)