|
35424 |
| Nama | : | 1 |
| Jabatan | : | 1 |
| Instansi | : | 1 |
| NPSN | : | 1 |
| Alamat | : | 1 |
| : | ........................................... | |
| Nomor Telepon | : | 081200000000 |
| Kanal | : | Siplah |
| Sumber Dana | : | Dana Desa |
| Janji Bayar | : | 2025-04-30 |
| Tanggal Kirim | : | 2025-05-01 |
| Catatan | : | ........................................... |
| No | Kode Barang | Nama Barang | Harga | Jumlah | Sub Total |
| TOTAL | |||||
*)Harga sudah termasuk pajak, dan biaya ongkos kirim.
*)Barang bisa diretur maks. 30 hari sejak penerimaan.
| , 24 April 2025 | |
| 1 | ................................. |