No.

033/SM-Inv/D-SC/X/2022

No. Polisi : B 1014 FHX

Kepada Yth, Merk : Pregio
RSUD Kabupaten Bekasi Type : Ambulance Minibus
Di Tempat

Perubahan/ yang di
No. Nama Perkiraan Volume Harga Satuan TOTAL pakai dokumen Pengurangan Nilai Plat Nomor
selanjutnya

Belanja Suku Cadang

1 Linner 1 set 3,169,650 3,169,650 2,746,897 422,753 422,753 B 1016 FHX
2 Piston 1 set 2,610,300 2,610,300 2,606,507 3,793
982,658 B 1015 FHX
3 Ring piston 1 set 978,865 978,865 - 978,865
4 Metal jalan 1 set 419,515 419,515 - 419,515
5 Metal duduk 1 set 512,750 512,750 tetap tetap
6 Metal bulan 1 set 139,850 139,850 - 139,850
7 Packing set 1 set 1,025,475 1,025,475 tetap tetap
8 Three bond abu-abu 1 pcs 65,260 65,260 tetap tetap
9 Ring kuningan 2 pcs 7,458 14,916 - 14,916
10 Switch temperature 1 pcs 139,850 139,850 - 139,850
1,719,848 B 1014 FHX
11 Klem selang 4 pcs 4,675 18,700 tetap tetap
12 Selang solar 1 pcs 22,374 22,374 22,017 357
13 Noken as 1 pcs 3,915,450 3,915,450 tetap tetap
14 Tape port push rod 1 pcs 233,065 233,065 - 233,065
15 Rocker arm ( pelatuk klep ) 1 pcs 512,750 512,750 - 512,750
16 Radiator coolant 2 gln 83,160 166,320 - 166,320
17 Tutup radiator 1 pcs 93,225 93,225 - 93,225

Total Rp 14,038,315 Rp 10,913,056 Rp 3,125,259

Bekasi, 12 Oktober 2022

CV. Segara Media
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Direktur
 No. 037/SM-Inv/D-SC/X/2022

No. Polisi : B 1017 FHX

Kepada Yth, Merk : Suzuki APV
RSUD Kabupaten Bekasi Type : Ambulance Minibus
Di Tempat

Perubahan/ yang
No. Nama Perkiraan Volume Harga Satuan TOTAL di pakai dokumen Pengurangan Nilai Plat Nomor
selanjutnya

Belanja Suku Cadang

1 Gigi matahari 1 pcs 2,203,500 2,203,500 tetap tetap
2 Tengkorak gardan 1 pcs 3,231,800 3,231,800 tetap tetap
3 Gigi pinion 4 pcs 1,101,750 4,407,000 2,911,876 1,495,124 1,495,124 B 1017 FHX
4 Gigi nanas 1 pcs 2,056,600 2,056,600 tetap tetap
5 Bearing gigi nanas depan 1 pcs 370,925 370,925 tetap tetap
6 Bearing gigi nanas belakang 1 pcs 419,400 419,400 tetap tetap
7 Spacer gigi nanas 1 pcs 220,350 220,350 tetap tetap
8 Bearing tengkorak gardan kiri kanan 2 pcs 471,310 942,620 tetap tetap
9 Shim side gear 1 pcs 139,850 139,850 tetap tetap
10 Baut clamping kom bearing side gear 2 pcs 64,350 128,700 tetap tetap
11 Baut cover belakang 2 pcs 74,250 148,500 - 148,500
12 Baut gigi matahari 12 pcs 49,500 594,000 tetap tetap
13 Selongsong gardan 1 pcs 3,356,100 3,356,100 tetap tetap
14 Seal gardan 1 pcs 251,710 251,710 - 251,710
15 Bearing as roda kiri kanan 2 pcs 223,740 447,480 442,457 5,023
16 Kom bearing as roda kiri kanan 2 pcs 85,800 171,600 - 171,600 1,509,388 B 1017 FHX
17 Seal roda kiri kanan 2 ps 158,485 316,970 - 316,970
18 Threebond 1 pcs 65,260 65,260 - 65,260
19 Minyak rem 1 ltr 102,830 102,830 - 102,830
20 Seal transmisi belakang 1 pcs 121,195 121,195 - 121,195
21 Baut roda belakang kanan 5 pcs 65,260 326,300 - 326,300

Total Rp 20,022,690 Rp 17,018,178 Rp 3,004,512

Bekasi, 17 Oktober 2022
CV. Segara Media

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Direktur