Ref : 16901219
Alamat : JL. AHMAD YANI NO. 4 SURAT PESANAN KENDARAAN
Phone : (0401) - 396 333 No. : ................................
205-IA27613
Fax : (0401) - 396 555 Tanggal : ................................
27-12-2019
Kode Wiraniaga : ................................
205-SA00615
Rencana Penyerahan 10-01-2020
: ................................
IDENTITAS PEMESAN KHUSUS PELANGGAN INSTANSI/CORPORATE/FLEET
NAMA PEMESAN : ............................................................................................
Ir. LAODE ASMAR PARSAN, M.Eng NAMA INSTANSI/PERUSAHAAN :
NO. KTP/TDP/NPWP : ............................................................................................ PT. SATU TIGALIMA SEJAHTERA
.........................................................................
ALAMAT (SESUAI KTP) : ............................................................................................
JL.BUNGA TANJUNG LR.QURAIS .........................................................................
NO.2A KEL.WATU-WATU KEC. KDI
............................................................................................ ALAMAT INSTANSI : ......................................
BARAT KOTA KENDARI SULTRA
............................................................................................ JL. BUNGGASI KEL. ANDUONOHU
.........................................................................
............................................................................................ KEC. POASIA
.........................................................................
KOTA/KAB : .......................................
KENDARI KOTA KENDARI SULTRA
.........................................................................
ALAMAT KORESPONDENSI : KODE POS KAB/KOTA : ....................................................
KENDARI
X KANTOR JL. BUNGGASI KEL. ANDUONOHU
............................................................................................
KEC. POASIA KODE POS
............................................................................................ TELEPON :
KOTA KENDARI SULTRA
............................................................................................ -
............................................................................................
-
KOTA/KAB : ....................................
KENDARI
KODE POS
TELEPON :
RUMAH 0 0 - TGL. LAHIR(TGL/BLN/THN) PKP Ya X Tidak
KANTOR - - -
PONSEL 0 8 1 1 5 4 0 9 3 8 0 NPWP 8 2 5 6 6 2 1 0 9 8
EMAIL :.............................................................................
marketingsatutigalima@gmail.co AGAMA : ................................. 1 1 0 0 0
KETERANGAN MODEL/TIPE : NEW RUSH 1.5 G M/T [10]
.................................................................................
NO.KTP/SIUP/TDP : ............................................................................... WARNA : SILVER METALLIC
.............................................................................
SPKB a/n : PT. SATU TIGALIMA SEJAHTERA
.......................................................................................... NO.RANGKA : .............................................................................
ALAMAT : JL. BUNGGASI KEL. ANDUONOHU
.......................................................................................... NO.MESIN : .............................................................................
KEC. POASIA
.......................................................................................... TAMBAHAN VARIASI(optional) : (1) ............................................
KOTA KENDARI SULTRA
.......................................................................................... (2) ......................................... (5) ............................................
KOTA/KAB : KENDARI
.......................................................................................... (3) ......................................... (6) ............................................
KODE POS : (4) ......................................... (7) ............................................
TLP/PONSEL : ........................................................................................ TUJUAN PEMBELIAN : OPERASIONAL KANTOR
..............................................................
PEKERJAAN : ........................................................................................ SUMBER DANA : DANA PERUSAHAAN
........................................................................
W Lembar putih untuk customer R Lembar merah untuk Admin Sales/Keuangan Cabang