| {PENGADAANNOSPK} | |
| {PENGADAANNAMA} | |
| {DOMSTNODO} | |
| {DOMSTTGLDO} | |
| {DOPICPENERIMA} | |
| {TGLTERIMA} | |
| {DOPICPENERIMA} |
| {VARTITLE2} | PIC Penerima | Unit Tujuan | Tanda Tangan | |||||
|---|---|---|---|---|---|---|---|---|
| -- -- | ||||||||
| {NOMOR} | {KODEBARANG} | {NAMABARANG} | {MEREKBARANG} | {VARVALUE2} | {DOUNITTGLTERIMA} | {DOUNITPICPENERIMA} | {UNITKERJANAMA} | |