No. ....... / (Code Project) - PR/ E&T/ (BLLN) / (Tahun) Date
No. ....... / (Code Project) - PR/ E&T/ (BLLN) / (Tahun) Date
Purchase Request
No. ......./ ( code project )_PR/ E&T/ ( blln) / ( tahun )
Date:
To
Tender Committee
Attn. ..
Refer to ( project ), herewith we request to proceed for purchasing goods and / or services as
stipulated hereunder.
Project Title
Work Packages
Work Breakdown Structure
Estimation Time Project
Target LOA
Items to be Purchased
No.
:
:
:
:
:
:
..
........................................................................................
........................................................................................
................ Month
........................................................................................
..
Description
Quantity
Remark
Attachement :
1. Drawing
2. Spesification
3. Other
= (sheet)
= (sheet)
= ... (sheet)
Note
:
Requested by,
N
O
PROJECT
CODE
Sumatera
Belawan
BLW
Lampung II
LPG
Lubuk Gaung
LBG
II
Jawa
Marunda CBS
Marunda III
Marunda IIIA
Surabaya II
SBY-II
Surabaya III
SBY-III
MRDGRDC
10
QC
III
Kalimantan
11
Tarjun III
TRJ-III
12
Tarjun IV
TRJ-IV
13
Bagendang
MRD-CBS
MRD-III
MRD-IIIA
MRD-QC
BGD