|
76781 |
| Nama | : | fhg |
| Jabatan | : | dfbh |
| Instansi | : | dfh |
| NPSN | : | ........................................... |
| Alamat | : | dfh |
| : | ........................................... | |
| Nomor Telepon | : | dgh |
| Kanal | : | Intanonline |
| Sumber Dana | : | DANA SISWA |
| Janji Bayar | : | ........................................... |
| Tanggal Kirim | : | ........................................... |
| 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.
| Klaten, 07 Agustus 2025 | |
| fhg | ................................. |