[%header_umum%]
| No |
: {surat_nomor} |
| Kepada Yth., |
| .......................................................... |
| .......................................................... |
| Perihal |
: ....................... |
| Lampiran |
: ....................... |
Bersama ini kami ajukan permintaan pengadaan Inventaris / alat tulis kantor untuk keperluan ….....................................
| No. |
URAIAN |
QTY |
SATUAN |
HARGA / UNIT |
TOTAL BIAYA |
| 01 |
|
|
|
|
Rp. |
| 02 |
|
|
|
|
Rp. |
| 03 |
|
|
|
|
Rp. |
| 04 |
|
|
|
|
Rp. |
| 05 |
|
|
|
|
Rp. |
| 06 |
|
|
|
|
Rp. |
| 07 |
|
|
|
|
Rp. |
| 08 |
|
|
|
|
Rp. |
| 09 |
|
|
|
|
Rp. |
| 10 |
|
|
|
|
Rp. |
| TOTAL |
|
|
|
Rp. |
| DIBUAT |
DISETUJUI |
| Tanggal, |
Tanggal, |
| |
|
| ADMIN DEPO …................................. |
SUPERVISOR |
| DITERIMA OLEH |
TANGGAL |
TANDA TANGAN |
| |
|
|