PT.

KEPSINDO INDRA UTAMA

Technical Engineering Support
FORM PERMINTAAN BARANG
NO. FPB ...................................

DIVISI :........................................ PERSONIL : 1)....................................

TANGGAL DIMULAI :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................
NO. SPK :....................................... 5)....................................

NO NAMA BARANG CEKLIS QTY SAT HARGA KETERANGAN

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10

Disetujui Oleh : Diperiksa Oleh : Pemohon :

( ) ( ) ( )
Direktur Manager
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

FORM PERMINTAAN BARANG

DIVISI :........................................ GROUP KERJA : 1)....................................

NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

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2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Syafrianto
Manager Ka. Workshop

PT. KEPSINDO INDRA UTAMA

Technical Engineering Support

FORM PERMINTAAN BARANG

:........................................ GROUP KERJA : 1)....................................

DIVISI
NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Roni Susanto
Manager Assmen
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

FORM PERMINTAAN BARANG

DIVISI :........................................ GROUP KERJA : 1)....................................

NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Manager

PT. KEPSINDO INDRA UTAMA

Technical Engineering Support

FORM PERMINTAAN BARANG

:........................................ GROUP KERJA : 1)....................................

DIVISI
NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,
Manager
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

FORM PERMINTAAN BARANG

DIVISI :........................................ GROUP KERJA : 1)....................................

NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Antoni
Manager Ka. Group

PT. KEPSINDO INDRA UTAMA

Technical Engineering Support

FORM PERMINTAAN BARANG

:........................................ GROUP KERJA : 1)....................................

DIVISI
NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Afribeni
Manager Ka. Group
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

FORM PERMINTAAN BARANG

DIVISI :........................................ GROUP KERJA : 1)....................................

NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Iswandi
Manager Rental Alat Berat

PT. KEPSINDO INDRA UTAMA

Technical Engineering Support

FORM PERMINTAAN BARANG

:........................................ GROUP KERJA : 1)....................................

DIVISI
NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Iswandi
Manager Rental Alat Berat
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

FORM PERMINTAAN BARANG

DIVISI :........................................ GROUP KERJA : 1)....................................

NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Nofrizal
Manager Hose Pabrik

PT. KEPSINDO INDRA UTAMA

Technical Engineering Support

FORM PERMINTAAN BARANG

:........................................ GROUP KERJA : 1)....................................

DIVISI
NO. SPK :........................................ 2)....................................
PEKERJAAN :........................................ 3)....................................
4)....................................

NO NAMA BARANG CEKLIS QTY SAT KETERANGAN

1
2
3
4
5
6
7
8

Padang, 2023
Diketahui Oleh, Pemohon,

Anton Martawijaya
Manager Hose Tambang
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

FORM PERMINTAAN KAS

NO. FPK .....................................

TANGGAL :........................................
DIVISI :........................................
PEKERJAAN :........................................

NO. SPK :.......................................

NO NAMA BARANG JUMLAH HARGA KETERANGAN

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Disetujui Oleh : Pemohon :

( ) ( )
Direktur
 PT. KEPSINDO INDRA UTAMA
Technical Engineering Support

SURAT PERINTAH KERJA

NO. SPK ...................................

TANGGAL :........................................ DURASI PEKERJAAN : ....................................

DIVISI :........................................

Melaksanakan Pekerjaan : PERSONIL : 1)....................................

2)....................................
3)....................................
4)....................................
5)....................................

Yang Meminta Disetujui Oleh Yang Menerima PENTING

Mulai Pekerjaan :

Selesai Pekerjaan :

Manager Wakil Direktur Ka. Workshop