MATERIAL/SERVICE REQUISITION FORM
NO :
Department : Marketing Requisition Purpose :
Requisition Type : Sales Order √ # SO21.129-A
Material √ Work Order #
Service Office Supply
NO DESCRIPTION Size QTY Remark
1 Motor WEG 1 Unit => Supply untuk PT. KNI
Penawaran Vendor terlampir..
W21 Cast Iron Frame Motors
kw : 7.5
Voltage : 690 3 Phase
Hz : 50
RPM : 2925
Frame Size : 132 S
Mounting : B35
Balikpapan, 23 Agutus 2021
Requeseted by, Checked by, *Verified by, Approved by,
Putrii Sn
MATERIAL/SERVICE REQUISITION FORM
NO :
Department : Marketing Requisition Purpose :
Requisition Type : Sales Order √ # SO21.169-A.PHKT (LAWE-LAWE)
Material Work Order #
Service √ Office Supply
NO DESCRIPTION Size QTY Remark
Maintenance & Repair for Laboratory Lawe-Lawe Instrument
Waterbath Merk: Thermo Electron,
Type: 180 Series Waterbath Precision, S/N: -
1
Spare Part : Electrical Terminal Socket ( Spare Part Original
1 EA
Discontinue) Modifikasi Electrical Terminal Socket
Balikpapan, 21 Oktober 2021
Requeseted by, Checked by, *Verified by, Approved by,
Putrii Sn Hendra F / Renghat R Haris Sugianto
MATERIAL/SERVICE REQUISITION FORM
NO :
Department : Project Requisition Purpose :
Requisition Type : Sales Order
Material √ Work Order
Service Office Supply √
NO DESCRIPTION Size QTY Remark
Alat Pel kemarin dipinjam untuk
1 Alat Pel set (Untuk Musholla) 1 set
Project
Balikpapan, 12 November 2021
Requested by, Checked by, *Verified by, Approved by,
______________ ___________________________ ______________ ______________________________
Ogy Risky Juwantoro Renghat Rumahorbo Haris Sugianto