PT ELANG PERKASA

Jl. Sawa CT No.12A

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.............. LAPORAN PENERIMAAN BARANG

Barang diterima Melalui .............................................................. Tgl ................................................................................................

Nama Pengemudi (Jika Melalui truk kita) ..........................................................................................................................................
Nama Perusahaan Pengirim ...............................................................................................................................................................
Alamat .................................................................................................................................................................................................

No. Mobil No. Segel dan Kondisi No. Surat No. Surat
Segel Order Pembelian Order Pengiriman

Jumlah Macam Penjelasan Lengkap ttg Tanda Pada

Bungkus/ Pembungkus Ukuran Barang (merek, mutu, dsb) Pembungkus
Kuantitas
Biji

Diperiksa Oleh Diterima Oleh

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urat
Order Pengiriman
Kondisi
Pada Saat
Diterima