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PAHLAWAN REVOLUSI NO. 100° || BaMBU S oar; 1/B.$1/31,72.06,1003.02.013..1/2-1779.3/2019 Sane eine | Po.Due:/ s on. : +901. 031-1-008.000 5 ~ Pa NS BELA 76 105183185 |Npwp: 02+ 901.031-1-0 3 ( 3PB ORDER RSN TGLFAKTUR TGLJTHTEMPO | RYNJUAL RYN.TAGIH RYN.KIRIM KETERANGAN 3 S100szeT1S | Wormal 29.06.2020 |~ 29.07.2020 | rorai1/03 | 1910KAROp6 _10RS3 9, 00/0,00 = NAMA BARANG P DATE, UNIT [HARGASATUAN] _HARGATOTAL | TBELES ELOCON CREAN 5 GH/TUDE (F)- = TUB 64.500] 258.000 TBELC1 ELOCON CREAM 10 GR/TUBE (F)- 4 TUB 103.009 412.000 ZAFLPD100 FLUIMUCIL PEDIATRIC pe - ER (F)» 21 Box 120. 00% 1.320.000 DABUCR35 BURNAZIN CREAM 35 GR ( 3 TUB 53.500] 169.500 EXCDTI4N CEDANTRON 4 INJEKST +3 BOX 245.000 435.000 EKASCL1 fo 2 Bo) 641.300] 641.300 Bes: NUTRIBABY ROYAL PREMATURE “400 G (NIS) (F)- 5 KLG 96.154 480.770 LI2 AMLNOPHYLLINE INT 24. MG f/ 24'S (8). 31.01.2022 1 Box 170.209] 170.100 MCSABY30 SANGOBLON BABY 30 ML (F| — 16.12. 2021}— 46.520) 186.080 MOGYGTA CYGEST 400 MG / 3KS PESSARY (F). savniceonl 400.000] 3.200.000 Penbayaran Transtec : —— STON SOSTERSssynasonete / x ane ese fog ———— TOTAL 4 { POT. PENJUALAN, POT. CASH TOTAL2 P.P.N c METERAI F JUMLAH TAGIHAN, "ERBILANG ° >ENERIMA MTA : - SAP &TTD TGL DITERIMA HORMAT KAMI x YAM DITERIMA PENANGGUNG JAWAB vey ( “)duta allt Ate eh 3 a ta re rk keri mor "KWITANSI No /D0M/ Tel. (21) 9404, en ar 40342,cHSEEDT