TANGGAL : .........................................................................................................................................................
NAMA SUPPLIER : .........................................................................................................................................................
NO. INVOICE : .........................................................................................................................................................
PENERIMA INVOICE : .........................................................................................................................................................
JUMLAH : RP. .................................................................................................................................................
PENERIMA : .........................................................................................................................................................
CABANG : .........................................................................................................................................................
( ) ( )
TANGGAL : .........................................................................................................................................................
NAMA SUPPLIER : .........................................................................................................................................................
NO. INVOICE : .........................................................................................................................................................
PENERIMA INVOICE : .........................................................................................................................................................
JUMLAH : RP. .................................................................................................................................................
PENERIMA : .........................................................................................................................................................
CABANG : .........................................................................................................................................................