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KOMANDO OPERASI TNI ANGKATAN UDARA II

PANGKALAN TNI AU SULTAN HASANUDDIN

USUL PESANAN ( UP )
UP NOMOR : / UP- ATK / I / ADA-RS / 2019 NOMOR : UP / / MATUM / I / 2019
TANGGAL : Januari 2019 TANGGAL : Januari 2019
PEMINTA : Kataud

NO. KODIFIKASI URAIAN PEKERJAAN / DIPESAN HARGA DUGAAN (Rp)


URUT BARANG NAMA BARANG JUMLAH SATUAN PERSATUAN JUMLAH
1 2 3 4 5 6 7
1 AMPLOP 110PPS 6 PACK 19,400.00 116,400.00
2 AMPLOP 90PPS 12 PACK 21,800.00 261,600.00
3 BALLLINER PEN HITAM 12S 2 BOX 185,400.00 370,800.00
4 BINDER CLIP 105 12 BOX 4,100.00 49,200.00
5 BINDER CLIP 200 12 BOX 11,800.00 141,600.00
6 BINDER CLIP 260 12 BOX 18,200.00 218,400.00
7 BOX FILE JUMBO 12 PIECE 33,000.00 396,000.00
8 BUKU EKSPEDISI 3S 6 PACK 53,000.00 318,000.00
9 BUKU HARD COVER FOLIO 100 5S 3 PACK 91,200.00 273,600.00
10 BUKU HARD COVER FOLIO 200 3S 6 PACK 103,000.00 618,000.00
11 BUKU HARD COVER FOLIO 300 2S 9 PACK 104,200.00 937,800.00
12 CORRECTION PEN CAIR 12S 1 BOX 84,700.00 84,700.00
13 CORRECTION PEN PITA 12S 1 BOX 120,100.00 120,100.00
14 CUTTER KNIFE L500 12S 1 BOX 166,500.00 166,500.00
15 DOUBLE TAPE 1,2CM 12 ROLL 3,500.00 42,000.00
16 DOUBLE TAPE 2,4CM 12 ROLL 7,700.00 92,400.00
17 DOUBLE TAPE DOUBLE FOAM 1" 6 ROLL 9,400.00 56,400.00
18 DOUBLE TAPE DOUBLE FOAM 2" 6 ROLL 16,500.00 99,000.00
19 GUNTING 12 PIECE 8,100.00 97,200.00
20 ISI STAPLES NO.10 40 BOX 2,900.00 116,000.00
21 ISI STAPLES NO.3 20 BOX 6,500.00 130,000.00
22 ISOLASI TAPE CLEAR 2CM 12 ROLL 5,300.00 63,600.00
23 ISOLASI TAPE CLEAR 2INCH 12 ROLL 9,400.00 112,800.00
24 KERTAS A4 70GR 40 RIEM 48,500.00 1,940,000.00
25 KERTAS F4 70GR 35 RIEM 54,800.00 1,918,000.00
26 KERTAS NCR 1PLY PRS 2 BOX 236,000.00 472,000.00
27 KERTAS NCR 3PLY PRS 4 BOX 456,700.00 1,826,800.00
28 LAKBAN 2" WARNA HIJAU 3 ROLL 15,300.00 45,900.00
29 LAKBAN 2" WARNA HITAM 12 ROLL 14,100.00 169,200.00
30 LAKBAN 2" WARNA KUNING 3 ROLL 15,300.00 45,900.00
31 LEM KERTAS 50ML 12S 2 BOX 30,600.00 61,200.00
32 PENA 0,7 BIRU 12S 12 BOX 21,200.00 254,400.00
33 PENA 0,7 HITAM 12S 18 BOX 21,200.00 381,600.00
34 RIBBON CARTRIDGE EPSON LQ310 3 BOX 67,700.00 203,100.00
35 RIBBON CARTRIDGE EPSON LX310 2 BOX 56,500.00 113,000.00
36 SPIDOL BOARDMARKER 12S 1 BOX 105,900.00 105,900.00
37 SPIDOL MARKER PERMANENT 12S 3 BOX 107,700.00 323,100.00
38 STAPLER HD10 12 PIECE 16,500.00 198,000.00
39 STOFMAP KERTAS F4 50S 6 PACK 27,100.00 162,600.00
40 TINTA REFILL 200ML CANON CYAN 3 BOTOL 59,400.00 178,200.00
41 TINTA REFILL 200ML CANON MAGENTA 2 BOTOL 59,400.00 118,800.00
42 TINTA REFILL 200ML CANON YELLOW 2 BOTOL 59,400.00 118,800.00
43 TINTA REFILL 70ML EPSON BLACK 6 BOTOL 97,700.00 586,200.00
44 TINTA REFILL 70ML EPSON CYAN 3 BOTOL 97,700.00 293,100.00
45 TINTA REFILL 70ML EPSON MAGENTA 3 BOTOL 97,700.00 293,100.00
46 TINTA REFILL 70ML EPSON YELLOW 3 BOTOL 97,700.00 293,100.00
KEPALA RSAU dr DODY SARJOTO 14,984,100.00
SELAKU
PEMINTA PELAKSANA KEGIATAN Dibebankan pada mata anggaran :
012.24.26.344839.1544.A.005.003.521811
TANDA TANGAN :
NAMA : dr. Heru Wisnu M., Sp. An. Program : PNBP BPJS Belanja Barang Persediaan Konsumsi
KEPALA RSAU dr DODY SARJOTO
SELAKU
PEMINTA PELAKSANA KEGIATAN Dibebankan pada mata anggaran :
012.24.26.344839.1544.A.005.003.521811
TANDA TANGAN :
NAMA : dr. Heru Wisnu M., Sp. An. Program : PNBP BPJS Belanja Barang Persediaan Konsumsi
PANGKAT : Letkol Kes / 527109
TANGGAL : Januari 2019 Kegiatan / Proyek : Bekkes Bulan Januari TA 2019

KOMANDAN LANUD SULTAN HASANUDDIN KEPALA DINAS LOGISTIK KEPALA PROGAR KEPALA PENGADAAN
SELAKU SELAKU SELAKU SELAKU
KEPALA PELAKSANA KEGIATAN PENGAWAS PELAKSANAAN KEGIATAN PENGENDALI KEGIATAN PENYELENGGARA PENGADAAN

TANDA TANGAN : TANDA TANGAN : TANDA TANGAN : TANDA TANGAN :


NAMA : H. Haris H., S.IP. NAMA : Puguh Priyono NAMA : Djarot S. Isworo, S.E NAMA : Farid Wijaya
PANGKAT : Marsekal Pertama TNI PANGKAT/NRP : Kolonel Tek/520252 PANGKAT/NRP : Mayor Adm/524311 PANGKAT/NRP : Mayor Kal/528744
TANGGAL : Januari 2019 TANGGAL : Januari 2019 TANGGAL : Januari 2019 TANGGAL : Januari 2019
T
HARGA (Rp) PPN PEMBULATAN DISKON (%) HARGA SATUAN
HARGA DPP PPN 10% AKHIR PPN 10%
PERSATUAN JUMLAH Satuan (+10%) Total (+10%) DISKON 100%
17,655.00 1,765.50 19,420.50 116,523.00 19,400.00 116,400.00 - 17,655.00 1,765.50
19,795.00 1,979.50 21,774.50 261,294.00 21,800.00 261,600.00 - 19,795.00 1,979.50
168,525.00 16,852.50 185,377.50 370,755.00 185,400.00 370,800.00 - 168,525.00 16,852.50
3,745.00 374.50 4,119.50 49,434.00 4,100.00 49,200.00 - 3,745.00 374.50
10,700.00 1,070.00 11,770.00 141,240.00 11,800.00 141,600.00 - 10,700.00 1,070.00
16,585.00 1,658.50 18,243.50 218,922.00 18,200.00 218,400.00 - 16,585.00 1,658.50
29,960.00 2,996.00 32,956.00 395,472.00 33,000.00 396,000.00 - 29,960.00 2,996.00
48,150.00 4,815.00 52,965.00 317,790.00 53,000.00 318,000.00 - 48,150.00 4,815.00
82,925.00 8,292.50 91,217.50 273,652.50 91,200.00 273,600.00 - 82,925.00 8,292.50
93,625.00 9,362.50 102,987.50 617,925.00 103,000.00 618,000.00 - 93,625.00 9,362.50
94,695.00 9,469.50 104,164.50 937,480.50 104,200.00 937,800.00 - 94,695.00 9,469.50
77,040.00 7,704.00 84,744.00 84,744.00 84,700.00 84,700.00 - 77,040.00 7,704.00
109,140.00 10,914.00 120,054.00 120,054.00 120,100.00 120,100.00 - 109,140.00 10,914.00
151,405.00 15,140.50 166,545.50 166,545.50 166,500.00 166,500.00 - 151,405.00 15,140.50
3,210.00 321.00 3,531.00 42,372.00 3,500.00 42,000.00 - 3,210.00 321.00
6,955.00 695.50 7,650.50 91,806.00 7,700.00 92,400.00 - 6,955.00 695.50
8,560.00 856.00 9,416.00 56,496.00 9,400.00 56,400.00 - 8,560.00 856.00
14,980.00 1,498.00 16,478.00 98,868.00 16,500.00 99,000.00 - 14,980.00 1,498.00
7,400.83 740.08 8,140.92 97,691.00 8,100.00 97,200.00 - 7,400.83 740.08
2,675.00 267.50 2,942.50 117,700.00 2,900.00 116,000.00 - 2,675.00 267.50
5,885.00 588.50 6,473.50 129,470.00 6,500.00 130,000.00 - 5,885.00 588.50
4,815.00 481.50 5,296.50 63,558.00 5,300.00 63,600.00 - 4,815.00 481.50
8,507.99 850.80 9,358.78 112,305.42 9,400.00 112,800.00 - 8,507.99 850.80
44,084.00 4,408.40 48,492.40 1,939,696.00 48,500.00 1,940,000.00 - 44,084.00 4,408.40
49,862.00 4,986.20 54,848.20 1,919,687.00 54,800.00 1,918,000.00 - 49,862.00 4,986.20
214,535.00 21,453.50 235,988.50 471,977.00 236,000.00 472,000.00 - 214,535.00 21,453.50
415,160.00 41,516.00 456,676.00 1,826,704.00 456,700.00 1,826,800.00 - 415,160.00 41,516.00
13,910.00 1,391.00 15,301.00 45,903.00 15,300.00 45,900.00 - 13,910.00 1,391.00
12,840.00 1,284.00 14,124.00 169,488.00 14,100.00 169,200.00 - 12,840.00 1,284.00
13,910.00 1,391.00 15,301.00 45,903.00 15,300.00 45,900.00 - 13,910.00 1,391.00
27,820.00 2,782.00 30,602.00 61,204.00 30,600.00 61,200.00 - 27,820.00 2,782.00
19,260.00 1,926.00 21,186.00 254,232.00 21,200.00 254,400.00 - 19,260.00 1,926.00
19,260.00 1,926.00 21,186.00 381,348.00 21,200.00 381,600.00 - 19,260.00 1,926.00
61,525.00 6,152.50 67,677.50 203,032.50 67,700.00 203,100.00 - 61,525.00 6,152.50
51,360.00 5,136.00 56,496.00 112,992.00 56,500.00 113,000.00 - 51,360.00 5,136.00
96,300.00 9,630.00 105,930.00 105,930.00 105,900.00 105,900.00 - 96,300.00 9,630.00
97,905.00 9,790.50 107,695.50 323,086.50 107,700.00 323,100.00 - 97,905.00 9,790.50
14,980.00 1,498.00 16,478.00 197,736.00 16,500.00 198,000.00 - 14,980.00 1,498.00
24,610.00 2,461.00 27,071.00 162,426.00 27,100.00 162,600.00 - 24,610.00 2,461.00
54,035.00 5,403.50 59,438.50 178,315.50 59,400.00 178,200.00 - 54,035.00 5,403.50
54,035.00 5,403.50 59,438.50 118,877.00 59,400.00 118,800.00 - 54,035.00 5,403.50
54,035.00 5,403.50 59,438.50 118,877.00 59,400.00 118,800.00 - 54,035.00 5,403.50
88,810.00 8,881.00 97,691.00 586,146.00 97,700.00 586,200.00 - 88,810.00 8,881.00
88,810.00 8,881.00 97,691.00 293,073.00 97,700.00 293,100.00 - 88,810.00 8,881.00
88,810.00 8,881.00 97,691.00 293,073.00 97,700.00 293,100.00 - 88,810.00 8,881.00
88,810.00 8,881.00 97,691.00 293,073.00 97,700.00 293,100.00 - 88,810.00 8,881.00
2,681,599.82 268,159.98 14,984,877.42 14,984,100.00 - 2,681,599.82 268,159.98
(777.42)
TOTAL HARGA AKHIR
HARGA (Rp) PPN PEMBULATAN
PERSATUAN JUMLAH Satuan (+10%) Total (+10%)
19,420.50 116,523.00 19,430.00 116,580.00 105,930.00 10,593.00
21,774.50 261,294.00 21,780.00 261,360.00 237,540.00 23,754.00
185,377.50 370,755.00 185,380.00 370,760.00 337,050.00 33,705.00
4,119.50 49,434.00 4,120.00 49,440.00 44,940.00 4,494.00
11,770.00 141,240.00 11,770.00 141,240.00 128,400.00 12,840.00
18,243.50 218,922.00 18,250.00 219,000.00 199,020.00 19,902.00
32,956.00 395,472.00 32,960.00 395,520.00 359,520.00 35,952.00
52,965.00 317,790.00 52,970.00 317,820.00 288,900.00 28,890.00
91,217.50 273,652.50 91,220.00 273,660.00 248,775.00 24,877.50
102,987.50 617,925.00 102,990.00 617,940.00 561,750.00 56,175.00
104,164.50 937,480.50 104,170.00 937,530.00 852,255.00 85,225.50
84,744.00 84,744.00 84,750.00 84,750.00 77,040.00 7,704.00
120,054.00 120,054.00 120,060.00 120,060.00 109,140.00 10,914.00
166,545.50 166,545.50 166,550.00 166,550.00 151,405.00 15,140.50
3,531.00 42,372.00 3,540.00 42,480.00 38,520.00 3,852.00
7,650.50 91,806.00 7,660.00 91,920.00 83,460.00 8,346.00
9,416.00 56,496.00 9,420.00 56,520.00 51,360.00 5,136.00
16,478.00 98,868.00 16,480.00 98,880.00 89,880.00 8,988.00
8,140.92 97,691.00 8,150.00 97,800.00 88,810.00 8,881.00
2,942.50 117,700.00 2,950.00 118,000.00 107,000.00 10,700.00
6,473.50 129,470.00 6,480.00 129,600.00 117,700.00 11,770.00
5,296.50 63,558.00 5,300.00 63,600.00 57,780.00 5,778.00
9,358.78 112,305.42 9,360.00 112,320.00 102,095.83 10,209.58
48,492.40 1,939,696.00 48,490.00 1,939,600.00 1,763,360.00 176,336.00
54,848.20 1,919,687.00 54,850.00 1,919,750.00 1,745,170.00 174,517.00
235,988.50 471,977.00 235,990.00 471,980.00 429,070.00 42,907.00
456,676.00 1,826,704.00 456,680.00 1,826,720.00 1,660,640.00 166,064.00
15,301.00 45,903.00 15,310.00 45,930.00 41,730.00 4,173.00
14,124.00 169,488.00 14,130.00 169,560.00 154,080.00 15,408.00
15,301.00 45,903.00 15,310.00 45,930.00 41,730.00 4,173.00
30,602.00 61,204.00 30,610.00 61,220.00 55,640.00 5,564.00
21,186.00 254,232.00 21,190.00 254,280.00 231,120.00 23,112.00
21,186.00 381,348.00 21,190.00 381,420.00 346,680.00 34,668.00
67,677.50 203,032.50 67,680.00 203,040.00 184,575.00 18,457.50
56,496.00 112,992.00 56,500.00 113,000.00 102,720.00 10,272.00
105,930.00 105,930.00 105,930.00 105,930.00 96,300.00 9,630.00
107,695.50 323,086.50 107,700.00 323,100.00 293,715.00 29,371.50
16,478.00 197,736.00 16,480.00 197,760.00 179,760.00 17,976.00
27,071.00 162,426.00 27,080.00 162,480.00 147,660.00 14,766.00
59,438.50 178,315.50 59,440.00 178,320.00 162,105.00 16,210.50
59,438.50 118,877.00 59,440.00 118,880.00 108,070.00 10,807.00
59,438.50 118,877.00 59,440.00 118,880.00 108,070.00 10,807.00
97,691.00 586,146.00 97,700.00 586,200.00 532,860.00 53,286.00
97,691.00 293,073.00 97,700.00 293,100.00 266,430.00 26,643.00
97,691.00 293,073.00 97,700.00 293,100.00 266,430.00 26,643.00
97,691.00 293,073.00 97,700.00 293,100.00 266,430.00 26,643.00
14,984,877.42 14,986,610.00 13,622,616- 1,362,261.58
1,732.58
- - - -
USUL PESANAN ( UP )

NO. URAIAN PEKERJAAN / DIPESAN HARGA+PPN (Rp)


URUT NAMA BARANG JUMLAH SATUAN PERSATUAN JUMLAH HARGA DPP
1 3 4 5 6 7
1 AMPLOP 110PPS 6 PACK 19,400.00 116,400.00 17,655.00
2 AMPLOP 90PPS 12 PACK 21,800.00 261,600.00 19,795.00
3 BALLLINER PEN HITAM 12S 2 BOX 185,400.00 370,800.00 168,525.00
4 BINDER CLIP 105 12 BOX 4,100.00 49,200.00 3,745.00
5 BINDER CLIP 200 12 BOX 11,800.00 141,600.00 10,700.00
6 BINDER CLIP 260 12 BOX 18,200.00 218,400.00 16,585.00
7 BOX FILE JUMBO 12 PIECE 33,000.00 396,000.00 29,960.00
8 BUKU EKSPEDISI 3S 6 PACK 53,000.00 318,000.00 48,150.00
9 BUKU HARD COVER FOLIO 100 5S 3 PACK 91,200.00 273,600.00 82,925.00
10 BUKU HARD COVER FOLIO 200 3S 6 PACK 103,000.00 618,000.00 93,625.00
11 BUKU HARD COVER FOLIO 300 2S 9 PACK 104,200.00 937,800.00 94,695.00
12 CORRECTION PEN CAIR 12S 1 BOX 84,700.00 84,700.00 77,040.00
13 CORRECTION PEN PITA 12S 1 BOX 120,100.00 120,100.00 109,140.00
14 CUTTER KNIFE L500 12S 1 BOX 166,500.00 166,500.00 151,405.00
15 DOUBLE TAPE 1,2CM 12 ROLL 3,500.00 42,000.00 3,210.00
16 DOUBLE TAPE 2,4CM 12 ROLL 7,700.00 92,400.00 6,955.00
17 DOUBLE TAPE DOUBLE FOAM 1" 6 ROLL 9,400.00 56,400.00 8,560.00
18 DOUBLE TAPE DOUBLE FOAM 2" 6 ROLL 16,500.00 99,000.00 14,980.00
19 GUNTING 12 PIECE 8,100.00 97,200.00 7,400.83
20 ISI STAPLES NO.10 40 BOX 2,900.00 116,000.00 2,675.00
21 ISI STAPLES NO.3 20 BOX 6,500.00 130,000.00 5,885.00
22 ISOLASI TAPE CLEAR 2CM 12 ROLL 5,300.00 63,600.00 4,815.00
23 ISOLASI TAPE CLEAR 2INCH 12 ROLL 9,400.00 112,800.00 8,507.99
24 KERTAS A4 70GR 40 RIEM 48,500.00 1,940,000.00 44,084.00
25 KERTAS F4 70GR 35 RIEM 54,800.00 1,918,000.00 49,862.00
26 KERTAS NCR 1PLY PRS 2 BOX 236,000.00 472,000.00 214,535.00
27 KERTAS NCR 3PLY PRS 4 BOX 456,700.00 1,826,800.00 415,160.00
28 LAKBAN 2" WARNA HIJAU 3 ROLL 15,300.00 45,900.00 13,910.00
29 LAKBAN 2" WARNA HITAM 12 ROLL 14,100.00 169,200.00 12,840.00
30 LAKBAN 2" WARNA KUNING 3 ROLL 15,300.00 45,900.00 13,910.00
31 LEM KERTAS 50ML 12S 2 BOX 30,600.00 61,200.00 27,820.00
32 PENA 0,7 BIRU 12S 12 BOX 21,200.00 254,400.00 19,260.00
33 PENA 0,7 HITAM 12S 18 BOX 21,200.00 381,600.00 19,260.00
34 RIBBON CARTRIDGE EPSON LQ310 3 BOX 67,700.00 203,100.00 61,525.00
35 RIBBON CARTRIDGE EPSON LX310 2 BOX 56,500.00 113,000.00 51,360.00
36 SPIDOL BOARDMARKER 12S 1 BOX 105,900.00 105,900.00 96,300.00
37 SPIDOL MARKER PERMANENT 12S 3 BOX 107,700.00 323,100.00 97,905.00
38 STAPLER HD10 12 PIECE 16,500.00 198,000.00 14,980.00
39 STOFMAP KERTAS F4 50S 6 PACK 27,100.00 162,600.00 24,610.00
40 TINTA REFILL 200ML CANON CYAN 3 BOTOL 59,400.00 178,200.00 54,035.00
41 TINTA REFILL 200ML CANON MAGENTA 2 BOTOL 59,400.00 118,800.00 54,035.00
42 TINTA REFILL 200ML CANON YELLOW 2 BOTOL 59,400.00 118,800.00 54,035.00
43 TINTA REFILL 70ML EPSON BLACK 6 BOTOL 97,700.00 586,200.00 88,810.00
44 TINTA REFILL 70ML EPSON CYAN 3 BOTOL 97,700.00 293,100.00 88,810.00
45 TINTA REFILL 70ML EPSON MAGENTA 3 BOTOL 97,700.00 293,100.00 88,810.00
46 TINTA REFILL 70ML EPSON YELLOW 3 BOTOL 97,700.00 293,100.00 88,810.00
14,984,100.00 2,681,599.82

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