PERMATA SARANA
HUSADA
Pamulang Permai Blok D3 No: 1-3
Telp: 021-7407421/22
email: psarhus@gmail.com
: ............................................................................................................
Merk
: ............................................................................................................
Serial
: ............................................................................................................
Type
: ............................................................................................................
Instalasi
: ............................................................................................................
: ............................................................................................................
: ............................................................................................................
: ................................
: Sifat permanen
penggantian
...............................................................................................................
.........................................................................................................
Tindak lanjut yang telah dilakukan/ service : Teknisi RSA
Vendor/pihak ke-3
Tindak lanjut
Sewa
Pindahan ..........................
Lain-lain : .........................................................................................
Mengetahui,
Manajer Keungan
Ketua K3
44/BA-PA/RSBPSH/XII/2016