Format Blnj Modal (1).xls
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Daftar Belanja Modal Puskesmas..................... Bulan : SPK/Perjanjian/Kontrak/Kwitansi No
Nama / Jenis Barang
1
2
DPA/SP2B
Jumlah
Tanggal
Nomor
Tanggal
Nomor
Banyak nya
Harga Satuan
Jml Harga
3
4
5
6
7
8
9 (7 x 8)
.............,
Januari 2019
Mengetahui Kepala Puskesmas.................
Pengurus Barang
(.............................)
(.............................)
Keterangan
10
Nama / Jenis Barang
1
2
DPA/SP2B
Jumlah
Tanggal
Nomor
Tanggal
Nomor
Banyak nya
Harga Satuan
Jml Harga
3
4
5
6
7
8
9 (7 x 8)
.............,
Januari 2019
Mengetahui Kepala Puskesmas.................
Pengurus Barang
(.............................)
(.............................)
Keterangan
10
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