7/21/2019 Form Titipan Barang

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TANDA TERIMA BARANG TITIPAN

TANGGAL TITIP : / /

Toko/Kios :

Alamat :

No.Tel. :

Kontrol Tiap Tanggal 11! "an #! tiap $%lan

No. Nama Barang &%mla' (arga Total (ET "isarankan

1 )'ampoo Mo$il * Motor Botol 1L (i+a% (AN,)klin Rp -!.00 Rp !!!.00

2 )'ampoo Mo$il * Motor Botol 1L Mera' (AN,)klin Rp 3!!.00 Rp 1!!!!.00

# )'ampoo Mo$il * Motor Botol L (i+a% (AN,)klin Rp #!!!.00 Rp 4!!!!.00

4 )'ampoo Mo$il * Motor Botol L (i+a% (AN,)klin Rp #!!.00 Rp 42!!.00

Pengkilap Ban ##! mL P%ti' (AN,)klin Rp 11!!.00 Rp 1#!!.00

Pengkilap Ban 1 L P%ti' (AN,)klin Rp 2!!.00 Rp #!!!!.00

- )a$%n 5%6i Piring ##! mL (i+a% (AN,)klin Rp #!!!.00 Rp #!!.00

3 )a$%n 5%6i Piring 1L (i+a% (AN,)klin Rp -!!.00 Rp 3!!.00

)a$%n 5%6i Piring L (i+a% (AN,)klin Rp #!!!.00 Rp 4!!!!.00

1! Detergen La%n"r7 5air )%per Mati6 L Bir% (AN,)klin Rp ##!!!.00 Rp #-!!.00

TANDA TANGAN PENERIMA

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