PT. SUTOPO LESTARI JAYA PO No.

: SLJ 001405
NPWP : 02.280.511.3-314.000 Date : Januari 2021
Address : DESA GASING, KECAMATAN TALANG KELAPA Order By :
KABUPATEN BANYUASIN
PROVINSI, SUMATERA SELATAN

Tel :
PIC :

DRAFT
PURCHASE ORDER
To : Deliver To :
PT. FAST MEDIKA UTAMA

Address : JL. RAYA SERANG KM 19 KP. DADAP RT.001 RW.001 PT. DAYA SEMESTA AGRO PERSADA (MILL)
CIAGEL, KEC. KIBIN, KAB. SERANG - BANTEN JL. Inpres Desa Perajin
Kec. Banyuasin 1 Kab. Banyuasin
Sumatera Selatan - Indonesia
Tel : 0254 - 7950802 Fax : Tel : 0711 384660
Attn. : M. SAWUNG PANUNTUN Attn. : Anita Wang

Total Item Price Total Amount

No. Item Description
Qty. Unit (Rp) (Rp)

1 PEMERIKSAAN KESEHATAN 36.00 unit 204,081.00 7,346,916

CHOLINESTRASE (122.449,- ) & SPIROMETRI ( 81.632,- )

Total Item Price : 7,346,916

PPN : 734,692

Withholding Tax : 146,938

Gross Amt. : 7,934,670

Says : Seven Million Nine Hundred Thirty-four Thousand Six Hundred Seventy Rupiah
Payment Term : 14 Hari setelah invoice dan hasil MCU diterima
PR. No. : DSER001701 Date: 17/12/2020
Remarks :
PEMERIKSAAN KESEHATAN BERKALA

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Authorise d Signatory