Spbu

SPBU.24.385.08 SPBU.24.385.
08
Jl. Kol.Berlian Manna Bengkulu Selatan Jl. Kol.Berlian Manna Bengkulu Selatan
Phone 0739-22032 E-mail:spbukutau@gmail.com Phone 0739-22032 E-mail:spbukutau@gmail.com
BUKTI SETORAN OPERATOR BUKTI SETORAN OPERATOR
Hari/Tanggal :......................................................................................... Hari/Tanggal :.......................................................................................

Jam :......................................................................................... Jam :.......................................................................................
Angka Awal :........................................................................................ Angka Awal :.......................................................................................
Angka Akhir :......................................................................................... Angka Akhir :.......................................................................................
Penjualan :..................................................................................Liter Penjualan :................................................................................Liter
Jumlah : Rp Jumlah : Rp
Nota POLRES :.................................L Rp............................................... Nota POLRES :.................................L Rp...........................................

:.................................L Rp............................................... :.................................L Rp...........................................
Lain-lain : Lain-lain :
1. 1.
2. 2.
3. 3.
Yang disetor Opr :Rp........................................................................... Yang disetor Opr :Rp...........................................................................

Pompa : Pompa :
1. (Px) 2. (S-Dex) 1. (Px) 2. (S-Dex)
3. (Pertalite) 4. (Pertalite) 3. (Pertalite) 4. (Pertalite)
7. (Bio Solar) 8. (Bio Solar) 7. (Bio Solar) 8. (Bio Solar)
9. (Pertalite) 10. (Pertalite) 11. (Px) 9. (Pertalite) 10. (Pertalite) 11. (Px)
Penerima Penyetor Pemeriksa Penerima Penyetor Pemeriksa
(............................) (.................................) (.............................) (............................) (.................................) (.............................)
SPBU.24.385.08 SPBU.24.385.08

Jam :......................................................................................... Jam :.......................................................................................
Angka Awal :......................................................................................... Angka Awal :.......................................................................................
Nota POLRES :.................................L Rp................................................ Nota POLRES :.................................L Rp..............................................

:.................................L Rp................................................ :.................................L Rp..............................................
1. 1.
2. 2.
3. 3.

Pompa : Pompa :
1. (Px) 2. (S-Dex) 1. (Px) 2. (S-Dex)
(............................) (.................................) (.............................) (............................) (.................................) (.............................)

SPBU.24.385.08 SPBU.24.385.08

Jam :......................................................................................... Jam :.......................................................................................

:.................................L Rp............................................... :.................................L Rp...........................................
1. 1.
2. 2.
3. 3.

Pompa : Pompa :
1. (Px) 2. (S-Dex) 1. (Px) 2. (S-Dex)
(............................) (.................................) (.............................) (............................) (.................................) (.............................)
SPBU.24.385.08 SPBU.24.385.08

Jam :......................................................................................... Jam :.......................................................................................

:.................................L Rp............................................... :.................................L Rp...........................................
1. 1.
2. 2.
3. 3.

Pompa : Pompa :
1. (Px) 2. (S-Dex) 1. (Px) 2. (S-Dex)
(............................) (.................................) (.............................) (............................) (.................................) (.............................)

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SPBU.24.385.08 SPBU.24.385.

BUKTI SETORAN OPERATOR BUKTI SETORAN OPERATOR

Hari/Tanggal :......................................................................................... Hari/Tanggal :.......................................................................................

Nota POLRES :.................................L Rp............................................... Nota POLRES :.................................L Rp...........................................

Yang disetor Opr :Rp........................................................................... Yang disetor Opr :Rp...........................................................................

Penerima Penyetor Pemeriksa Penerima Penyetor Pemeriksa

(............................) (.................................) (.............................) (............................) (.................................) (.............................)

BUKTI SETORAN OPERATOR BUKTI SETORAN OPERATOR

Hari/Tanggal :......................................................................................... Hari/Tanggal :.......................................................................................

Nota POLRES :.................................L Rp................................................ Nota POLRES :.................................L Rp..............................................

Yang disetor Opr :Rp........................................................................... Yang disetor Opr :Rp...........................................................................

Penerima Penyetor Pemeriksa Penerima Penyetor Pemeriksa

(............................) (.................................) (.............................) (............................) (.................................) (.............................)

BUKTI SETORAN OPERATOR BUKTI SETORAN OPERATOR

Hari/Tanggal :......................................................................................... Hari/Tanggal :.......................................................................................

Nota POLRES :.................................L Rp............................................... Nota POLRES :.................................L Rp...........................................

Yang disetor Opr :Rp........................................................................... Yang disetor Opr :Rp...........................................................................

Penerima Penyetor Pemeriksa Penerima Penyetor Pemeriksa

(............................) (.................................) (.............................) (............................) (.................................) (.............................)

BUKTI SETORAN OPERATOR BUKTI SETORAN OPERATOR

Hari/Tanggal :......................................................................................... Hari/Tanggal :.......................................................................................

Nota POLRES :.................................L Rp............................................... Nota POLRES :.................................L Rp...........................................

Yang disetor Opr :Rp........................................................................... Yang disetor Opr :Rp...........................................................................

Penerima Penyetor Pemeriksa Penerima Penyetor Pemeriksa

(............................) (.................................) (.............................) (............................) (.................................) (.............................)

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