Professional Documents
Culture Documents
Departement/Division* : PROJECT & ENGINEERING Request Category * Budget* : Budget Approved by Financial Controller
PR Date* : 28 Nopember 2017 Good / Material Services Non Budget Budget
No. PR* : 245/MBJ/CON/11/2017
Item # Description (please give information such as scope of work resume and justification, Point of Contact, Special Instruction) Budget Code Quantity Estimated Unit Price Estimated Total Price Delivery Date
TOTAL Rp 1,097,474,189
Requested By : Approved by Head Manager Approved by Project Head (for Project) Approved by IT Head (For IT) Approved by O&M (for Maintenance&REHAB) Approved by Tech.Auditor (for REHAB)
Sign & Date: Sign & Date: Sign & Date: Benny Nugroho Sign & Date: Rudhy Erawan Sign & Date: Ook Juwana Sign & Date: Wilmart Siburian
Purchase Method Public Bidding Limited Bidding Direct Purchase Direct Reference Purchase NOTE :
Evaluation Method Based on Price Comparison Based on Price & Technical Comparison
Received by Procurement Request Approved by COO Approved by Procurement Head
Sign & Date: Name Sign & Date: Joedi Herijanto Sign & Date: Cecilia Aryani
* Wajib diisi
385235148.xlsx