(4)
Deskripsi Barang
Discription of goods
Stock minimum
(6)(16) (14) (12) (11) (10) (8) (7) No . Bin card Sisa Balance
Keluar
OutTerima
In Dari/Kepada From or toNo. Nota pengiriman / pengantar Waybill nr / GDN nr / GRN nr
Tanggal
DateDonor
(9)Exp
date
Harga per unit (13) (15) Lokasi Barang (17)Nama Gudang / No.
(4)(16) (15) 200 (14) (13) 200 (12) 0088356 (11) KP PMI (10) 2/6/2005
(17) Food parcel yang rusak : 2 dos (kemasan rusak)
Keterangan/Remarks
100 100 008956 PMI SUMBAR 3/7/2005 Tandatangan Signature Sisa Balance Keluar out Terima inNo. Nota pengiriman/ pengantar Waybill nr / GDN nr / GRN nr Dari/kpd From or to Tanggal Date Donor Item code (7) (5)
Dos. Per dos @ 8 Kg
(6)
Food Parcel (uk. 30 cm x 20 cm x 20 cm)
SATUAN/
Unit (9)Diskripsi Barang/
Discription of goods Expiry date (8)1 Baby Kit Merah Dus IFRC 7509 9460 23-Jun-11 Gdg. Sentul 93 93 -7510 9462 23-Jun-11 Gdg. Sentul 93 1 94
94
- 94
2 Baby Kit Minor Dus IFRC 7509 9460 23-Jun-11 Gdg. Sentul 354 354
7510 9462 40717 Gdg. Sentul 354 118 472
472
- 472
3 Baby Kit Putih Dus IFRC 7509 9460 23-Jun-11 Gdg. Sentul 999 999
999
999
999
- 999
4 Dapur Umum set Peti IFRC 7507 9457 22-Jun-11 Gdg. Sentul 2 2
IFRC 7915 09498 22-Jun-11 Gdg. Sentul 2 3 5 5
5
-5 Ember Plastik Navi Logo PMI Pcs 1132 9473 5-Oct-11 PMI Pusat 730 730
300Ltr 1133 9474 5-Oct-11 PMI Pusat 730 720 1.450
1.450
- 1.450
6 Family Kit Box IFRC 7504 9464 22-Jun-11 Gdg. Sentul 408 408
7505 9455 22-Jun-11 Gdg. Sentul 408 402 810 7506 9456 22-Jun-11 Gdg. Sentul 810 396 1.206
7507 9457 22-Jun-11 Gdg. Sentul 1.206 64 1.270 standar
7508 9461 23-Jun-11 Gdg. Sentul 1.270 632 1.902 7509 9460 23-Jun-11 Gdg. Sentul 1.902 366 2.268 7510 9462 23-Jun-11 Gdg. Sentul 2.268 546 2.814 12301 27-Sep-11 PMI Kab. Bogor 2.814 84 2.730 12302 27-Sep-11 PMI Kab. Bogor 2.730 190 2.540 12303 27-Sep-11 PMI Kab. Bogor 2.540 110 2.430 12305 28-Sep-11 PMI Kab. Bogor 2.430 308 2.122 12306 28-Sep-11 PMI Kab. Bogor 2.122 308 1.814
3950/LOG/X/2
011 02112 1-Dec-11 PMI Prov JaBar 1.814 280 1.534 3950/LOG/X/2
011 02113 1-Dec-11 PMI Prov JaBar 1.534 420 1.114
2.814
1.700 1.114
7 Flipchart/Pamflet Pcs IFRC 7516 9469 Gdg.Sentul 880 880 87 Koli @10 Pcs
7519 09498 3-Nov-11 Gd. Sentul 880 760 Flu.b & Dis 2 Koli @5 Pcs
1.640
- 1.640
8 Hand Sprayer Unit IFRC 7510 9462 Gdg.Sentul 5 5
Total Total Total Total Total tutup kurang 153 pcs Total Total
0 5
5
-9 Hygiene Kit Parcel IFRC 7507 9457 22-Jun-11 Gdg.Sentul 1.857 1.857
7512 9467 26-Jun-11 Gdg.Sentul 1.857 1.148 3.005 001896 2204 25-Aug-11 PMI Jawa Barat 3.005 500 2.505 12304 28-Sep-11 PMI JakPus 2.505 150 2.355 02110 5-Nov-11 PMI Kab Bogor 2.355 200 2.155
3950/LOG/X/2
011 02112 1-Dec-11 PMI Prov JaBar 2.155 600 1.555 3950/LOG/X/2
011 02112 1-Dec-11 PMI Prov JaBar 1.555 100 1.455
3.005
1.550 1.455
10 Kain Sarung Pcs IFRC 7511 9451 23-Jun-11 Gdg.Sentul 10.222 10.222
0 10.222
10.222
-11 Kelambu BASF Interceptor Pcs IFRC 7511 9451 23-Jun-11 Gdg.Sentul 3.000 3.000 60 Balle
0 1 bal = 50 pcs
3.000
- 3.000
12 Mosquito Nets/Kelambu Bale IFRC 7516/BTS/VI/2011 09469 GD. SENTUL 130 130 1 Bale= 25 Pcs
PMI 0 26 Balle
130
- 130
13 Kitchen ware Dus IFRC/ Kuwait 7511 9451 23-Jun-11 Gdg. Sentul 640 640
7512 9467 26-Jun-11 Gdg. Sentul 640 500 1.140 7513 9465 26-Jun-11 Gdg. Sentul 1.140 686 1.826 7515 9466 26-Jun-11 Gdg. Sentul 1.826 615 2.441 7516 9469 26-Jun-11 Gdg. Sentul 2.441 661 3.102 7518 9471 26-Jun-11 Gdg. Sentul 3.102 703 3.805 12304 28-Sep-11 PMI JakPus 3.805 100 3.705 12418 09481 27-Okt-11 Gdg. Sentul 3.705 500 4.205 12422 09489 29-Okt-11 Gdg. Sentul 4.205 510 4.715 12423 09488 29-Okt-11 Gdg. Sentul 4.715 500 5.215 12424 09492 31-Oct-11 Gdg. Sentul 5.215 387 5.602
02109 5-Nov-11 Pmi Kab Bogor 5.602 200 5.402
5.702
300 5.402
14 Lampu Senter Unit IFRC 7513 9465 26-Jun-11 500 500
"SANYO" Led Lantern 0 1 dus = 4 unit
Total Total 51 karung @200 pcs + 22 Pcs Total Total Total Total
500
- 500
15 Masker CE ISO 13485 Pcs Rp 350 Consorsium 3516 SJ/298 9472 5-Oct-11 PMI-Pusat 90.000 90.000 31.500.000
Merk "SENSI" non latex Rp 350 SJ/299 9476 6-Oct-11 90.000 110.000 200.000 70.000.000
3913 02103 2-Nov-11 PMI SumUt 200.000 10.000 190.000 66.500.000
3913 02104 2-Nov-11 PMI SumSEL 190.000 10.000 180.000 66.500.000
3913 02105 2-Nov-11 PMI Jambi 180.000 100 179.900 62.965.000
- - -200.000
20.100 179.900 62.965.000
16 Masker 3M Pcs IFRC 7515 9466 26-Jun-11 Gdg. Sentul 2.080 2.080
2.080
2080
2.080
2.080
17 Masker Singapura Pcs Singapura 7515 9466 26-Jun-11 Gdg. Sentul 50.000 50.000
2202 15-Aug-11 PMI Jawa Barat 50.000 20.000 30.000
3913 02101 2-Nov-11 PMI KalTeng 30.000 10.000 20.000
3913 02102 2-Nov-11 PMI KalSel 20.000 10.000 10.000
3913 02106 2-Nov-11 PMI NTT 10.000 10.000 0
50.000
50.000 0 Barang Habis
18 Rompi logo PMI Pcs IFRC 7517 9470 26-Jun-11 Gdg. Sentul 5.175 5.175
7518 9471 26-Jun-11 Gdg. Sentul 5.175 25 5.200
2203 24-Aug-11 PMI Pusat 5.200 700 4.500
0 5.200
700 4.500
19 Rompi Relawan PMI & Migas Pcs IFRC 7517 9470 26-Jun-11 Gdg. Sentul 80 80
0 80
80
20 Selimut Navy Pcs IFRC 7514 9468 26-Jun-11 Gdg. Sentul 3.150 3.150
7516 9469 26-Jun-11 Gdg. Sentul 3.150 17 3.167 001896 2204 25-Aug-11 PMI Jawa Barat 3.167 500 2.667 2304 28-Sep-11 PMI JakPus 2.667 150 2.517 02110 5-Nov-11 PMI Kab Bogor 2.517 200 2.317
3.167
850 2.317
21 Sirine Unit IFRC 7503 9463 21-Jun-11 Gdg. Sentul 30 30
0 Total 1 karton = 40 Box, 1 Box = 50 pcs 1 dus= 8 box @20 pcs Total 5 dus = @4.000 pcs 2 dus = @5.000 pcs Total 1 bal @bervariasi Total
hasil audit kurang 1 pcs Total
1 bal @bervariasi
Total Total
30
30
22 Tali Karmentel Unit IFRC 7515 9466 26-Jun-11 Gdg. Sentul 16 16
7513 09499 3-Nov-11 Gd. Sentul 16 15 31 1 dus = 2 unit
0 31
31
23 Tandu Basket Unit IFRC 7515 9466 26-Jun-11 Gdg. Sentul 13 13
0 13
13
24 Tangga Unit IFRC 7515 9466 26-Jun-11 Gdg. Sentul 5 5
0 5
5
25 Terpal 4x6m logo PMI - putih Pcs IFRC 7503 9463 21-Jun-11 Gdg. Sentul 1.500 1.500
7512 9467 26-Jun-11 Gdg. Sentul 1.500 1.320 2.820 1 bal = 10 pcs
7513 9465 26-Jun-11 Gdg. Sentul 2.820 1.380 4.200 7515 9466 26-Jun-11 Gdg. Sentul 4.200 1.330 5.530 7516 9469 Gdg. Sentul 5.530 400 5.930 7517 9470 26-Jun-11 Gdg. Sentul 5.930 1.360 7.290
27-Okt-11 Gdg. Banten 7.290 10 7.280 used for Family tend cover 29-Okt-11 Gdg. Banten 7.280 20 7.260 used for Family tend cover 7913 09499 3-Nov-11 Gd. Sentul 7.260 1.260 8.520
Terpal 4x6m PMI&IFRC - putih 12417 09483 28-Oct-11 Gdg. Sentul 8.520 15 8.535
31-Oct-11 Gdg. Banten 8.535 5 8.530 used for Family tend cover
8.565
35 8.530
26 Tikar Plastik Pcs IFRC 7503 9463 21-Jun-11 Gdg. Sentul 400 400
7511 9451 23-Jun-11 Gdg. Sentul 400 1.220 1.620 1 bal = 20 pcs
7516 9469 Gdg. Sentul 1.620 320 1.940
001896 2205 25-Aug-11 PMI Jabar 1.940 500 1.440
1.940
500 1.440
27 Family Tend Kuwait Unit/Pcs PMI Pusat 12417 9483 28-Okt-11 Gdg. Sentul 124 124
Total 12418 09481 27-Okt-11 Gdg. Sentul 124 143 - 267
12419 09485 27-Okt-11 Gdg. Sentul 267 204 471 Total Total Total Total Total Total
12420 09486 28-Okt-11 Gdg. Sentul 471 200 671 12421 09487 29-Okt-11 Gdg. Sentul 671 120 791 12422 09488 29-Okt-11 Gdg. Sentul 791 199 990 12423 09489 29-Okt-11 Gdg. Sentul 990 201 1.191 12424 09492 31-Oct-11 Gdg. Sentul 1.191 200 1.391 12425 09490 31-Oct-11 Gdg. Sentul 1.391 200 1.591 12426 09491 31-Oct-11 Gdg. Sentul 1.591 200 1.791 12427 09493 31-Oct-11 Gdg. Sentul 1.791 260 2.051 12428 09494 31-Oct-11 Gdg. Sentul 2.051 218 2.269 12430 09495 31-Oct-11 Gdg. Sentul 2.269 225 2.494 12429 09496 31-Oct-11 Gdg. Sentul 2.494 250 2.744 12432 09051 3-Nov-11 Gdg. Sentul 2.744 247 2.991 12431 09052 3-Nov-11 Gdg. Sentul 2.991 247 3.238 07915 09498 3-Nov-11 Gdg. Sentul 3.238 33 3.271 07914 09500 3-Nov-11 Gdg. Sentul 3.271 250 3.521 4232/Log 21-Nov-11 PMI Prov Banten 3.521 - 300 3221
3.521
300 3.221
28 Kantung Mayat / Body Bag PMI Pcs PMI Pusat 12416 09482 27-Oct-11 Gdg. Sentul 821 821
W/ Navi dan Biru 821 821
821
821
29 Kantung Mayat / Body Bag PMI Pcs ICRC 12416 09482 27-Oct-11 Gdg. Sentul 96 - 96
W/ Putih dan Kuning 96 0 0 96
96
- 96
30 Gerobak Dorong Roda 2 (dua) Unit/Pcs PMI Pusat 12416 09482 27-Oct-11 Gdg. Sentul 4 4
-0 0
4
- 4
31 Terpal Plastik Roll Coklat Roll PMI Pusat 12416 09482 27-Oct-11 Gdg. Sentul 206 206
12417 09483 28-Oct-11 Gdg. Sentul 206 97 303
03156 02107 4-Nov-11 PMI Kota JakUt 303 20 283
303
20 283
32 Terpal Plastik Roll Putih Roll PMI Pusat 12417 09483 28-Oct-11 Gdg. Sentul - 9 9 1 bal = 10 pcs
0 0 0 9 9 Total Total Total Total Total Total
33 Kursi Donor Pcs PMI Pusat 7913 09499 3-Nov-11 Gd. Sentul - 8 8
02119 9-Dec-11 PMI Prov Riau 8 0 4 4 8 4 4
34 Sensi Gloves Pcs Consorsium 12421 09487 29-Oct-11 Gdg. Sentul - 15.000 15.000 15000 0 0 15.000 15.000 35 Masker "Surgical" Pcs AmCross 12421 09487 29-Oct-11 Gdg. Sentul - 4.900 4.900 3913 02105 2-Nov-11 4.900 - 4.900 0 1200 1200 6.100 4.900 1200 36 PPE For Voluenterr Dus PMI Pusat 12421 09487 29-Oct-11 Gdg. Sentul - 300 300
300 - 300
300 300
37 PPE For Staff Dus PMI Pusat 12421 09487 29-Oct-11 Gdg. Sentul - 100 100
100 0 100 100 100
38 Palet Plastik Persegi W/Hitam Buah PMI Pusat 12419 09485 28-Oct-11 Gdg. Sentul 20 20
12425 09490 31-Oct-11 Gdg. Sentul 20 10 30
Palet Plastik Kotak W/Hitam 12419 09485 28-Oct-11 Gdg. Sentul 30 82 112
12420 09486 28-Oct-11 Gdg. Sentul 112 100 212 12421 09487 29-Oct-11 Gdg. Sentul 212 50 262 07915 09498 3-Nov-11 Gdg. Sentul 262 20 282 12426 09491 31-Oct-11 Gd.Sentul 282 30 312 12433 09053 3-Nov-11 Gd. Sentul 312 20 332 12437 09057 10-Nov-11 Gd. Sentul 332 13 345 12438 09058 16-Nov-11 Gdg. Sentul 345 54 399 399 399
39 Lampu Senter " SUNLIGHT" Pcs PMI Pusat 12422 09489 29-Oct-11 Gdg. Sentul - 279 279
279 0 279 279 279
40 Tenda DOM Ex Banten Pcs PMI Pusat 12428 09494 31-Oct-11 Gdg. Sentul - 28 28
Total Total Total Total Total Total Total
28 14 42
42
42
41 Tas/Kantong Kresek logo PMI Pcs PMI Pusat 12428 09494 31-Oct-11 Gdg. Sentul - 41.950 41.950
41.950
0 41950
41.950
41.950
42 Lifestraw Pcs PMI Pusat 12428 09494 31-Oct-11 Gdg. Sentul - 282 282
282 - 282
282
282
43 Boneka Dus PMI Pusat 12428 09494 31-Oct-11 Gdg. Sentul - 1 1
1 0 1
1
1
44 Bak Paket FK Pcs Consorsium 12426 09491 31-Oct-11 Gd, Sentul - 2.781 2.781
2781 0 0
2.781
2.781
45 Tas P3K Pcs PMI Pusat 12424 09492 31-Oct-11 Gd. Sentul - 8 8
8
0 8
8
8
46 Tenda Rubhall Unit PMI Pusat - 1 1
7915 09498 3-Nov-11 Gd. Sentul 1 1 2
2
2
47 Bendera PMI Pieces PMI Pusat 7915 09498 3-Nov-11 Gd. Sentul - 600 600
600 0 600
600
600
48 Pelampung Pcs Austr R.C 3906/um 09056 10-Nov-11 Gd. Sentul - 12 12
0 0 0
12
12
49 Jerigen Pcs Austr R.C 3906/um 09056 10-Nov-11 Gd. Sentul - 12 12
12 - 12
12
12
50 Speedboat Solverino Unit Austr R.C 3906/um 09056 10-Nov-11 Gd. Sentul - 1 1
1 0 1
1
1
51 Hygiene Kit Dus/kit Konsorsium 3839/PBJ/X/2011 09059 1-Dec-11 PMI Pusat - 1.260 1.260
Total Total Total Total Total Total Total Total Total Total Total
34cmx34cmx31cm W= 4,6 Kg H.R.C 3839/PBJ/X/2011 09060 01/12/2011 PMI Pusat 1.260 1144 2404
2.404
2.404
52 PVC Gloves XL- 14 Pcs IFRC / 09061 2-Dec-11 PMI Pusat - 1.000 1.000
Nor Cross 1.000 0 1000
1.000
1.000
53 Earloop Surgical Mask Pcs IFRC
10278
394/XII/2011 09063 9-Dec-11 PMI Pusat - 250.000 250.000"sensi Mask" 50Pcs/Box 250.000 0 250000
250.000
250.000
54 Blanket/Selimut Pcs IFRC /
10278
394/XII/2011 09063 9-Dec-11 PMI Pusat - 371 371Blue Navy Nor Cross 371 0 371
371
371
Serang ………….
Yulia Sayanthi Nurrohman
Muhammad Yunus
Total
Total
Total
Total
no
Nama Barang
Item Name
Satuan
Unit
Jumlah
total
Diskripsi dan pengepakan
Barang
Item description and packaging
Tujuan
Destination
Pemohon
Requester
Yang dimohon
requested
Nama Kegiatan
Activity name
Sifat
Urgency
Penting/rutin*
Urgent/Routine
Tanggal Pengiriman
Req date of delivery
Nama
Name
Tanda Tangan&Tanggal
Signature&date
Catatan
Note
Dipesan Oleh
Requested by
Diketahui Oleh
(atasan Pemesan)
Acknowledged by (upline
re-quester)
Diketahui Oleh
Pelaksana Logistik
Acknowledged by Logistic in
Charge
Disetujui Oleh Kepala Markas
Approved by head of office
no
Nama Barang
Item Name
Satuan
Unit
Jumlah
total
Berat
Harga
No Permintaan
Nomor GRN
Lokasi Penerima/Location
Terima dari/Received f
rom
Nama Donor dan Peruntukan/
Donors name and allocated
No Kendaraan/No. vehicle
No Surat Jalan/No. waybill
Pemeriksaan saat Penerimaan
Inspection during receive
Nama
Name
Jabatan
Position
Tanda tangan & Tanggal
Signature and date