PENGIRIM PENERIMA

Nama Nama

NIK NIK

Tgl.Kirim Tgl.Terima
FORM RETUR
FROM : CC04 TO : BBB1 Doc. No. : 4905135873
CHANDRA BANDAR JAYA BRA HOUSE PTC PALEMBANG Doc. Date : 22.05.2023
Palembang Trade Center Mall Lt.1 No.59
JL. PROKLAMATOR No:96 JL. R . SUKAMTO No 8 A
LAMPUNG PALEMBANG
No. Retur : RFFJ306-MEI23 Note : TURUN 70%

Grade Article Qty Uom Price Total Amount

E 071-1034B GRY 080 1 PCS 120.000 120.000
Total 1 120.000

Disetujui Oleh, SPG Pengirim, SPV Coordinator, Diambil Oleh,

( SITI ) (.............) (.............) (.............)

Pages :1
Total pages :1
 PENGIRIM PENERIMA
Nama Nama

NIK NIK

Tgl.Kirim Tgl.Terima
FORM RETUR
FROM : CC04 TO : GUD2 Doc. No. : 4905135874
CHANDRA BANDAR JAYA GUDANG KOSAMBI Doc. Date : 22.05.2023
PT MEGARIAMAS SENTOSA
JL. PROKLAMATOR No:96 JALAN RAYA KALI PERANCIS
LAMPUNG TANGERANG
No. Retur : RGFJ307-MEI23 Note : RIJEK

Grade Article Qty Uom Price Total Amount

B 071-7647A GRY 070 1 PCS 85.000 85.000
B 071-7652B LPK 075 1 PCS 90.000 90.000
B 071-7652B LPK 085 1 PCS 90.000 90.000
B 071-7725B BRN 080 1 PCS 90.000 90.000
B 073-1266B BEI 075 1 PCS 110.000 110.000
B 075-20060 PEA MDM 1 PCS 55.000 55.000
B 075-50031 RED LRG 1 PCS 55.000 55.000
Total 7 575.000

Disetujui Oleh, SPG Pengirim, SPV Coordinator, Diambil Oleh,

( SITI ) (.............) (.............) (.............)

Pages :1
Total pages :1