TEFA METLAND SCHOOL

FORMULIR PERMINTAAN BARANG

Pemohon Indra Radjagukguk

Bagian /Divisi Pillo Hotel (Kaliana Apartment Serviced)
Tanggal Permintaan 6/1/2023
Tanggal Penggunaan Barang Jun-23

No Nama Barang Merk Type Satuan Jumlah Estimasi Harga Total

1 AIR MINERAL VIT BOTOL DUS 12 Rp 33,000.00 Rp 396,000
2 AIR MINERAL VIT GALON GALON 6 Rp 17,000.00 Rp 102,000
3 KERIPIK SINGKONG BALL 1 Rp 30,000.00 Rp 30,000
4 KERIPIK KUPING GAJAH BALL 1 Rp 35,000.00 Rp 35,000
5 PILUS IKAN BALL 1 Rp 50,000.00 Rp 50,000
6 KOPI HITAM (NESCAFE ISI 10) NESCAFE CLASSIC SACHET PACK 20 Rp 7,000.00 Rp 140,000
7 GULA PASIR SACHET ( 50) FARMERS DAY 2 DAY SACHET PACK 4 Rp 45,000.00 Rp 180,000
8 TEH SACHET (ISI 50) TONG TJI SACHET PACK 4 Rp 45,000.00 Rp 180,000
9 COFFEE STIRRER (HOT STRAW) PACK PACK 2 Rp 28,500.00 Rp 57,000
10 SABUN HOTEL BULAT RYER BATANG PCS 200 Rp 595.00 Rp 119,000
11 DENTAL KIT SACHET PCS 200 Rp 900.00 Rp 180,000
12 TISUE ROLL (ISI 10) ROLL PACK 6 Rp 30,000.00 Rp 180,000
13 TISUE POP UP (KOTAK KECIL ISI 10) KOTAK PACK 6 Rp 30,000.00 Rp 180,000
14 PENGHARUM RUANGAN STELLA BOTOL PCS 6 Rp 30,000.00 Rp 180,000
15 SABUN PENCUCI PIRING SUNLIGHT SACHET PCS 2 Rp 20,000.00 Rp 40,000
16 PEMBERSIH LANTAI SOS SACHET PCS 6 Rp 15,000.00 Rp 90,000
17 KAIN PEL/ MOP KRISBOW PCS PCS 4 Rp 75,000.00 Rp 300,000
18 SAPU LANTAI/ BROOM+DUSTPAN KRISBOW PCS PSC 2 Rp 125,000.00 Rp 250,000
19 REFILL LOBBY DUSTER KRISBOW PCS PCS 4 Rp 45,000.00 Rp 180,000
20 BUFFING PAD PUTIH KRISBOW PCS PCS 4 Rp 75,000.00 Rp 300,000
21 KAIN LAP/ MICROFIBER CLOTH KRISBOW PCS PCS 12 Rp 25,000.00 Rp 300,000
22 GULA PASIR (UTK KARYAWAN) GULAKU KG PACK 1 Rp 15,000.00 Rp 15,000
23 KOPI (UTK KARYAWAN) KAPAL API PACK 1 Rp 25,000.00 Rp 25,000
24 TEH SACHET (UTK KARYAWAN) SARIWANGI PACK 2 Rp 12,500.00 Rp 25,000
TOTAL Rp 3,534,000

Disposisi Purchasing

Mengetahui/Menyetujui
Pemohon Mengetahui/Menyetujui Kepala Sekolah

(...................................) (..............................) (Darmawan Sunarja)

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