FORMULIR STOK TRANSFER DISTRIBUTOR

232.1840.F.011-0

Dikirim dari *)

Sold to Code PT RUKUN MITRA SEJATI

Kepada CUSTOMER SERVICES Ship to Code PT RUKUN MITRA SEJATI
Alamat/ Gudang Distributor

Diterima oleh * )
Dari PT. Saerah Surya Perkasa Sold to Code 6264067 CV GEMILANG ABADI DEMAK
Ship to Code 6264067 CV GEMILANG ABADI DEMAK
Jl. Lingkar Demak, Area Sawah, Jogoloyo, Kec. Wonosalam, Kabupaten Demak, Jawa
Tengah 59571

Cc
Alamat/ Gudang Distributor

Tanggal Nama Transporter …………………………………………………………………………………………………….

Ref.No. ………………………………………………………………………
Biaya Transport ………………………………Ditanggung oleh …………………………………………….
( diisi oleh CSD )
Jumlah
No. Kode produk Deskripsi Kode Batch/Lot * ) Expiry Date * ) Quality Check *
CS Dsp EA (Y/N)

1 2 Apr-20 Y
12593691 DANCOW 1+ Madu Box 24x350g N1 ID
2 Apr-20 Y
12593639 DANCOW 1+ Vanila Box 24x350g N1 ID 1

3 Apr-20 Y
12597119 DANCOW 1+ Madu Box 12x1000g N2 ID 17

4 Apr-20 Y
12597109 DANCOW 1+ Vanila Box 12x1000g N2 ID 12

5 Apr-20 Y
12571028 DANCOW 3+ Madu Box 12x750g N1 ID 4

6
12597140 DANCOW 3+ Madu Box 12x1000g N2 ID 7

7
12597130 DANCOW 3+ Vanila Box 12x1000g N2 ID 22

8
12571049 DANCOW 5+ Vanila Box 12x750g N1 ID 4

9
12597124 DANCOW 5+ Madu Box 12x1000g N2 ID 1

10
12549791 DANCOW Full Cream Fortigro 24x390gID 4

11
12578064 DANCOW Full Cream Fortigro 12x780g N1ID 1

12
12578171 DANCOW Instant Frtgro SICh16(10x26g)N1ID 15

13
12578553 DANCOW Instant Frtgro BIB 24x390g N1ID 1

14
12578153 DANCOW Instant Fortigro BIB 12x780g N1ID 4

15
12578737 DANCOW InstantFrtgro Pouch 12x1000g N1ID 4

16
12578070 DANCOW Coklat Frtgro SICh 16(10x38g)N1ID 38

17
12578080 DANCOW Coklat Fortigro BIB 40x195g N1ID 1

18
12577939 DANCOW Coklat Fortigro BIB 24x390g N1ID 1

19
12577952 DANCOW Coklat Frtgro BIB 12x780g N2ID 2

20
12513374 LACTOGROW 3 24x350g N3 ID 2

21
12571044 LACTOGROW 3 Van 12x735g N2 ID 4

22
12571046 LACTOGROW 3 Honey 12x735g N2 ID 4

23
12571043 LACTOGROW 3 Vanila 12x1kg N2 ID 3

24
12571024 LACTOGROW 4 Honey12x1kg N2 ID 1

25
12570927 LACTOGROW 4 Van 12x1kg N2 ID 2

26
12564637 NEST CERELAC BrsMerahSICh16(8x20g) N4 ID 27

27
12564616 NEST CERELAC KcgHijauSICh16(8x20g) N4 ID 1

28
12450483 NEST CERELAC KcgHijau Box 40x120g N3 ID 5

29
12560550 NESTLE CERELAC BLBanana Milk 40x120gN2ID 2

30
12593690 NESTLE CERELAC ApelJerukPisang 40x120gID 1

31
12580944 NESTLE GOODNES Kurma Ajwa Milk 30x189ml 13

32
12595078 NESTLE GOODNES HABBATUSSAUDA 30x189ml 4

33
12599982 KOKO KRUNCH Combo Pack 48(20+10)g PRMNID 16

34
12551082 NESTLE KOKO KRUNCH Cereal 18x300g ID 1

35
12598237 KOKO KRUNCH SiCh 20(10(15g+4,5g)) PRID 34
 Jumlah
No. Kode produk Deskripsi Kode Batch/Lot * ) Expiry Date * ) Quality Check *
CS Dsp EA (Y/N)
36
12524064 NESCAFE Cappuccino 24x220ml N2 ID 19

37
12524063 NESCAFE Latte 24x220ml N2 ID 39

38
12524062 NESCAFE Caramel Macchiato 24x220ml N2 ID 15

39
12524070 NESCAFE Ice Black 24x220ml N2 ID 23

40
12524073 NESCAFE Premium Original Can 24x220ml ID 3

41
12524072 NESCAFE Premium Latte Can 24x220ml ID 5

42
12524071 NESCAFE Premium Mocha Can 24x220ml ID 1

43
12574796 MILO ACTIV-GO Pouch 12x790g N1 ID 2

44
12583797 MILO 3in1 ACTIV-GO Pouch 12x990g N1 ID 2

45
12540203 MILO ACTIV-GO UHT Cmbk 36x180ml N2 ID 32

46
12571173 MILO ACTIV-GO UHT Cmbk 9(4x180ml) N3 ID 20

47
12522732 MILO ACTIV-GO RTD 24x220ml ID 1

48
12556780 MILO ACTIV-GO Nutri Up RTD 24x220ml ID 5

49
12512795 BEAR BRAND White Malt RTD 24x140ml N3 ID 4

50
12573983 CARNATION SBC 48x365g N1 ID 1

51
12467478 MAGGI ML Ayam Sich 60(12x7g) 1

52
12327059 S-26 GOLD PROMIL 2 Can Top 6x900g N8 ID 4

53
12558957 S-26 PROMILGOLD 1 Can SPOE 24x400g N8 ID 1

54
12327075 S-26 PROMISE GOLD Can Top 6x900g N8 ID 1

55
12425551 S-26 PROCAL Pouch 12x400g N4 ID 1

56
12593687 DANCOW 1+ Madu Box 40x120g N1 ID 1

57
12583013 DANCOW BABY 2 Box 40x120g ID 1

58
12592981 DANCOW Vanilla Fortigro UHT36x110mlN2ID 50

59
12593678 DANCOW StrawberryFortigroUHT36x110mlN3ID 19

60
12578128 DANCOW Coklat Fortigro UHT36x110mlN2ID 160

61
12578154 DANCOW Coklat Fortgr UHT 36x180ml N1ID 8

62
12581688 LACTOGROW 3 Honey 40x145g ID 3

63
12571025 LACTOGROW 4 Honey12x735g N2 ID 1

64
12495637 HONEY STARS Cereal 18x150g N4 2

65
12510906 CARNATION Evaporated 48x405g N2 ID 1

66
12577177 MILO Nuggets 30x25g N1 XX 12

67
12425550 S-26 PROMIL 1 Pouch 12x400g N2 ID 1

68
12583804 MILO 3in1 ACTIV-GO Pbg 24(10x34g) N1 ID 1

69
12516463 MAGGI Seasoning 24x200ml N1 ID 1

70
12593691 DANCOW 1+ Madu Box 24x350g N1 ID 1

71
12597119 DANCOW 1+ Madu Box 12x1000g N2 ID 4

72
12597109 DANCOW 1+ Vanila Box 12x1000g N2 ID 11

73
12431350 DANCOW 3+ Madu 24x400g 9

74
12550586 DANCOW 3+ Vanila Box 24x350g ID 6

75
12571028 DANCOW 3+ Madu Box 12x750g N1 ID 1

76
12571060 DANCOW 3+ Vanila Box 12x750g N1 ID 5

77
12597140 DANCOW 3+ Madu Box 12x1000g N2 ID 8

78
12597130 DANCOW 3+ Vanila Box 12x1000g N2 ID 2

79
12550535 DANCOW 5+ Madu Box 24x350g ID 7

80
12571049 DANCOW 5+ Vanila Box 12x750g N1 ID 7

81
12549791 DANCOW Full Cream Fortigro 24x390gID 4

82
12578064 DANCOW Full Cream Fortigro 12x780g N1ID 11

83
12578171 DANCOW Instant Frtgro SICh16(10x26g)N1ID 90

84
12578170 DANCOW Instant Fortigro BIB 40x195g N1ID 19
 Jumlah
No. Kode produk Deskripsi Kode Batch/Lot * ) Expiry Date * ) Quality Check *
CS Dsp EA (Y/N)
85
12578553 DANCOW Instant Frtgro BIB 24x390g N1ID 13

86
12578153 DANCOW Instant Fortigro BIB 12x780g N1ID 4

87
12578070 DANCOW Coklat Frtgro SICh 16(10x38g)N1ID 10

88
12578080 DANCOW Coklat Fortigro BIB 40x195g N1ID 26

89
12577939 DANCOW Coklat Fortigro BIB 24x390g N1ID 5

90
12577952 DANCOW Coklat Frtgro BIB 12x780g N2ID 3

91
12437405 LACTOGROW 3 Van 24x350g 19

92
12513270 LACTOGROW 3 Honey 24x350g N3 ID 8

93
12513374 LACTOGROW 3 24x350g N3 ID 19

94
12571044 LACTOGROW 3 Van 12x735g N2 ID 10

95
12571046 LACTOGROW 3 Honey 12x735g N2 ID 7

96
12564637 NEST CERELAC BrsMerahSICh16(8x20g) N4 ID 96

97
12564616 NEST CERELAC KcgHijauSICh16(8x20g) N4 ID 104

98
12450483 NEST CERELAC KcgHijau Box 40x120g N3 ID 9

99
12450475 NEST CERELAC BrsMerah Box 40x120g N3 ID 14

100
12504547 NEST CERELAC BrsMerah AyamTomat40x120gID 20

101
12520019 NEST CERELAC Susu BerasMerah 40x120gN1ID 4

102
12593690 NESTLE CERELAC ApelJerukPisang 40x120gID 24

103
12580944 NESTLE GOODNES Kurma Ajwa Milk 30x189ml 26

104
12595078 NESTLE GOODNES HABBATUSSAUDA 30x189ml 6

105
12599982 KOKO KRUNCH Combo Pack 48(20+10)g PRMNID 42

106
12551827 NESTLE KOKO KRUNCH Cereal 18x150g ID 2

107
12598237 KOKO KRUNCH SiCh 20(10(15g+4.5g)) PRID 140

108
12524064 NESCAFE Cappuccino 24x220ml N2 ID 14

109
12524063 NESCAFE Latte 24x220ml N2 ID 9

110
12524062 NESCAFE Caramel Macchiato 24x220ml N2 ID 23

111
12524070 NESCAFE Ice Black 24x220ml N2 ID 5

112
12524073 NESCAFE Premium Original Can 24x220ml ID 4

113
12524072 NESCAFE Premium Latte Can 24x220ml ID 20

114
12556560 MILO ACTIV-GO Pouch 12x990g ID 9

115
12540203 MILO ACTIV-GO UHT Cmbk 36x180ml N2 ID 30

116
12556780 MILO ACTIV-GO Nutri Up RTD 24x220ml ID 13

117
12512795 BEAR BRAND White Malt RTD 24x140ml N3 ID 4

118
12573983 CARNATION SBC 48x365g N1 ID 28

119
12573992 CARNATION SBC 48x488g N1 ID 1

120
12467478 MAGGI ML Ayam Sich 60(12x7g) 12

121
12425532 S-26 PROMIL 2 Pouch 12x400g N2 ID 2

122
12558957 S-26 PROMILGOLD 1 Can SPOE 24x400g N8 ID 8

123
12327071 S-26 PROCAL GOLD Can Top 6x900g N8 ID 3

124
12327075 S-26 PROMISE GOLD Can Top 6x900g N8 ID 5

125
12425551 S-26 PROCAL Pouch 12x400g N4 ID 1

126
12593687 DANCOW 1+ Madu Box 40x120g N1 ID 37

127
12593688 DANCOW 1+ Vanila Box 40x120g N1 ID 2

128
12583013 DANCOW BABY 2 Box 40x120g ID 36

129
12583023 DANCOW BABY 2 Box 12x550g ID 8

130
12568417 BATITA 3+ Madu 12x850g ID 1

131
12592981 DANCOW Vanilla Fortigro UHT36x110mlN2ID 19

132
12593678 DANCOW StrawberryFortigroUHT36x110mlN3ID 27

133
12578128 DANCOW Coklat Fortigro UHT36x110mlN2ID 21
 Jumlah
No. Kode produk Deskripsi Kode Batch/Lot * ) Expiry Date * ) Quality Check *
CS Dsp EA (Y/N)
134
12578154 DANCOW Coklat Fortgr UHT 36x180ml N1ID 3

135
12514845 LACTOGEN 2 24x350g N3 ID 2

136
12581688 LACTOGROW 3 Honey 40x145g ID 7

137
12571025 LACTOGROW 4 Honey12x735g N2 ID 2

138
12495637 HONEY STARS Cereal 18x150g N4 2

139
12510906 CARNATION Evaporated 48x405g N2 ID 28

140
12577177 MILO Nuggets 30x25g N1 XX 3

141
12425550 S-26 PROMIL 1 Pouch 12x400g N2 ID 3

142
12437267 S-26 PROMIL 1 Pouch 12x700g ID 8

143
12437292 S-26 PROMIL 2 Pouch 12x700g ID 2

144
12550871 S-26 PROMILGOLD 2 Can SPOE 24x400g N7 ID 12

145
12560883 S-26PROMILGOLDPHPRO1BL NWHB233 12x400gID 2

Alasan transfer : *) U S : Distributor Over Stock C A : Distributor salah order N S : Distributor kekurangan stok

K E : Salah order proses P E : Gudang salah kirim

Yang mengajukan : Atas permintaan Distributor Hold/Credit prosess oleh AR-HO Physical Logistic
Pengirim : Diketahui oleh ASM Dept.

Region Region
Pengirim Penerima
Tanggal : Tanggal : Tanggal :

Disetujui oleh Atas persetujuan Distributor Diketahui oleh

Penerima : Customer Services Dept. :

Tanggal : Tanggal : DTanggal : Tanggal : Tanggal : Tanggal :

NOTE : TOLONG DILENGKAPI DAN DITANDA TANGAN SEBELUM PROSES CN/DN

QUALITY CHECK MENGACU KE FORM QUALITY CHECKLIST CRITERIA

 BUKTI SERAH TERIMA BARANG DISTRIBUTOR 232.1840.F.011-0

Pengirim : Penerima :
Sold To Code 4944012 Sold To Code 5842733
Ship to Code 5846022 Ship to Code 5842734
Alamat PT Padmatirta Wisesa Alamat PT Saerah Surya Perkasa
JL.Raya Berbek 1 Pergudangan Legundi Business Park Blok K5-K6
Waru, Sidoarjo Legundi, Driyorejo Gresik

No. Referensi : ………………………………………………………

Transporter : ………………………………………………………
No. Kendaraan : ………………………………………………………

No. Kode produk Deskripsi Jumlah Kode Batch/Lot Tanggal Kadaluarsa Quality Check
karton Dsp (Y/N)
DANCOW 1+ Madu Box
1 12593691 24x350g N1
DANCOW 1+IDVanila Box 2 91900227R1 Apr-20 Y
2 12593639 24x350g N1
DANCOW 1+IDMadu Box 1 92030227R1 Apr-20 Y
3 12597119 12x1000g 1+
DANCOW N2Vanila
ID Box 17 92110227R1 Apr-20 Y
4 12597109 12x1000g 3+
DANCOW N2Madu
ID Box 12 91900227R1 Apr-20 Y
5 12571028 12x750g N1
DANCOW 3+IDMadu Box 4 92030227R1 Apr-20 Y
6 12597140 12x1000g 3+
DANCOW N2Vanila
ID Box 7
7 12597130 12x1000g 5+
DANCOW N2Vanila
ID Box 22
8 12571049 12x750g N1
DANCOW 5+IDMadu Box 4
9 12597124 12x1000g N2 ID 1
10 12549791 DANCOW Full Cream Fortigro 24x390gID 4
11 12578064 12x780g N1ID
DANCOW Instant Frtgro 1
12 12578171 SICh16(10x26g)N1ID
DANCOW Instant Frtgro BIB 15
13 12578553 24x390g N1ID
DANCOW Instant Fortigro BIB 1
14 12578153 12x780g N1ID
DANCOW InstantFrtgro Pouch 4
15 12578737 12x1000g Coklat
DANCOW N1ID Frtgro SICh 4
16 12578070 16(10x38g)N1ID
DANCOW Coklat Fortigro BIB 38
17 12578080 40x195g N1ID
DANCOW Coklat Fortigro BIB 1
18 12577939 24x390g N1ID
DANCOW Coklat Frtgro BIB 1
19 12577952 12x780g N2ID 2
20 12513374 LACTOGROW 3 24x350g N3 ID 2
21 12571044 LACTOGROW 3 Van Honey12x735g N2 ID 4
22 12571046 12x735g N2 ID 4
23 12571043 LACTOGROW 34 Vanila 12x1kg N2 ID
Honey12x1kg 3
24 12571024 N2 ID CERELAC
NEST 1
25 12570927 LACTOGROW 4 Van 12x1kg
BrsMerahSICh16(8x20g) N4N2 ID 2
26 12564637 ID
NEST CERELAC 27
27 12564616 KcgHijauSICh16(8x20g)
NEST CERELAC KcgHijauN4 BoxID 1
28 12450483 40x120gCERELAC
NESTLE N3 ID BLBanana 5
29 12560550 Milk 40x120gN2ID
NESTLE CERELAC 2
30 12593690 ApelJerukPisang
NESTLE GOODNES 40x120gID
Kurma 1
31 12580944 Ajwa Milk
NESTLE 30x189ml
GOODNES 13
32 12595078 HABBATUSSAUDA 30x189ml 4
33 12599982 KOKO KRUNCH
NESTLE Combo Pack
KOKO KRUNCH 48(20+10)g PRMNID
Cereal 16
34 12551082 18x300g ID 1
35 12598237 KOKO KRUNCH
NESCAFE SiCh 20(10(15g+4,5g)) PRID
Cappuccino 34
36 12524064 24x220mlLatte
NESCAFE N2 ID24x220ml N2 19
37 12524063 ID
NESCAFE Caramel Macchiato 39
38 12524062 24x220mlIce
NESCAFE N2Black
ID 24x220ml 15
39 12524070 N2 ID
NESCAFE Premium Original 23
40 12524073 Can 24x220ml
NESCAFE PremiumID Latte Can 3
41 12524072 24x220ml ID 5
42 12524071 NESCAFE
MILO Premium
ACTIV-GO Mocha Can 24x220ml ID
Pouch 1
43 12574796 12x790g
MILO 3in1N1ACTIV-GO
ID Pouch 2
44 12583797 12x990g
MILO N1 ID UHT Cmbk
ACTIV-GO 2
45 12540203 36x180ml
MILO N2 ID UHT Cmbk
ACTIV-GO 32
46 12571173 9(4x180ml)
MILO ACTIV-GON3 ID RTD 20
47 12522732 24x220ml
MILO ID
ACTIV-GO Nutri Up RTD 1
48 12556780 24x220ml ID 5
49 12512795 BEAR BRAND White Malt RTD 24x140ml N3 ID 4
50 12573983 CARNATION SBC 48x365g N1 ID 1
51 12467478 MAGGI
S-26 ML Ayam
GOLD PROMIL Sich2 60(12x7g)
Can Top 1
52 12327059 6x900g
S-26 N8 ID
PROMILGOLD 1 Can SPOE 4
53 12558957 24x400g
S-26 N8 ID GOLD Can Top
PROMISE 1
54 12327075 6x900g
S-26 N8 ID Pouch 12x400g
PROCAL 1
55 12425551 N4 ID
DANCOW 1+ Madu Box 1
56 12593687 40x120g N1
DANCOW ID 2 Box
BABY 1
57 12583013 40x120g ID
DANCOW Vanilla Fortigro 1
58 12592981 UHT36x110mlN2ID
StrawberryFortigroUHT36x11 50
59 12593678 0mlN3ID
DANCOW Coklat Fortigro 19
60 12578128 UHT36x110mlN2ID
DANCOW Coklat Fortgr UHT 160
61 12578154 36x180ml N1ID
LACTOGROW 3 Honey 8
62 12581688 40x145g ID 4 Honey12x735g
LACTOGROW 3
63 12571025 N2 ID 1
64 12495637 HONEY STARS
CARNATION Cereal 18x150g N4
Evaporated 2
65 12510906 48x405g N2 ID 1
66 12577177 MILOPROMIL
S-26 Nuggets130x25g
Pouch N1 XX
12x400g 12
67 12425550 N2 ID 3in1 ACTIV-GO Pbg
MILO 1
68 12583804 24(10x34g) N1 ID 1
69 12516463 MAGGI
DANCOW Seasoning
1+ Madu24x200ml
Box 24x350g N1 ID 1
70 12593691 N1 ID
DANCOW 1+ Madu Box 1
71 12597119 12x1000g 1+
DANCOW N2 Vanila
ID Box 4
72 12597109 12x1000g N2 ID 11
73 12431350 DANCOW 3+
DANCOW 3+ Madu
Vanila24x400g
Box 9
74 12550586 24x350g ID3+ Madu Box 12x750g
DANCOW 6
75 12571028 N1 ID
DANCOW 3+ Vanila Box 1
76 12571060 12x750g N1
DANCOW 3+IDMadu Box 5
77 12597140 12x1000g 3+
DANCOW N2 Vanila
ID Box 8
78 12597130 12x1000g
DANCOW 5+ N2 Madu
ID Box 24x350g 2
79 12550535 ID
DANCOW 5+ Vanila Box 7
80 12571049 12x750g N1 ID 7
81 12549791 DANCOW Full
DANCOW Full Cream
Cream Fortigro
Fortigro 24x390gID 4
82 12578064 12x780g N1ID
DANCOW Instant Frtgro 11
83 12578171 SICh16(10x26g)N1ID 90
84 12578170 DANCOW Instant
DANCOW Instant Fortigro
Frtgro BIBBIB 40x195g N1ID 19
85 12578553 24x390g N1ID
DANCOW Instant Fortigro BIB 13
86 12578153 12x780g N1ID
DANCOW Coklat Frtgro SICh 4
87 12578070 16(10x38g)N1ID
DANCOW Coklat Fortigro BIB 10
88 12578080 40x195g N1ID
DANCOW Coklat Fortigro BIB 26
89 12577939 24x390g
DANCOWN1IDCoklat Frtgro BIB 5
90 12577952 12x780g N2ID 3
91 12437405 LACTOGROW 33 Van
LACTOGROW 24x350g
Honey 24x350g 19
92 12513270 N3 ID 8
93 12513374 LACTOGROW 3 24x350g N3 ID 19
94 12571044 LACTOGROW 33 Van
LACTOGROW 12x735g
Honey 12x735gN2 ID 10
95 12571046 N2 ID CERELAC
NEST 7
96 12564637 BrsMerahSICh16(8x20g)
NEST CERELAC N4 ID 96
97 12564616 KcgHijauSICh16(8x20g)
NEST CERELAC KcgHijauN4 BoxID 104
98 12450483 40x120g N3 ID
NEST CERELAC BrsMerah Box 9
99 12450475 40x120g N3 ID 14
100 12504547 NEST CERELAC
NEST CERELAC BrsMerah AyamTomat40x120gID
Susu BerasMerah 20
101 12520019 40x120gN1ID
NESTLE CERELAC 4
102 12593690 ApelJerukPisang
NESTLE GOODNES 40x120gID
Kurma Ajwa 24
103 12580944 Milk 30x189ml
NESTLE GOODNES 26
104 12595078 HABBATUSSAUDA 30x189ml 6
105 12599982 KOKO KRUNCH Combo Pack 48(20+10)g PRMNID 42
106 12551827 NESTLE KOKO KRUNCH Cereal 18x150g ID 2
107 12598237 KOKO KRUNCH
NESCAFE SiCh 20(10(15g+4.5g))
Cappuccino 24x220ml PRID 140
108 12524064 N2 ID 14
109 12524063 NESCAFE
NESCAFE Latte 24x220ml
Caramel N2 ID
Macchiato 9
110 12524062 24x220mlIce
NESCAFE N2Black
ID 24x220ml N2 23
111 12524070 ID
NESCAFE Premium Original Can 5
112 12524073 24x220mlPremium
NESCAFE ID Latte Can 4
113 12524072 24x220ml ID 20
114 12556560 MILO ACTIV-GO
MILO ACTIV-GO Pouch 12x990g ID
UHT Cmbk 9
115 12540203 36x180ml
MILO N2 ID Nutri Up RTD
ACTIV-GO 30
116 12556780 24x220ml ID 13
117 12512795 BEAR BRAND White Malt RTD 24x140ml N3 ID 4
118 12573983 CARNATION SBC 48x365g N1 ID 28
119 12573992 CARNATION SBC 48x488g N1 ID 1
120 12467478 MAGGI ML Ayam Sich 60(12x7g) 12
121 12425532 S-26 PROMIL
S-26 2 Pouch
PROMILGOLD 12x400g
1 Can SPOEN2 ID 2
122 12558957 24x400g
S-26 N8 IDGOLD Can Top
PROCAL 8
123 12327071 6x900g
S-26 N8 ID GOLD Can Top
PROMISE 3
124 12327075 6x900g
S-26 N8 ID Pouch 12x400g N4
PROCAL 5
125 12425551 ID
DANCOW 1+ Madu Box 40x120g 1
126 12593687 N1 ID
DANCOW 1+ Vanila Box 37
127 12593688 40x120g N1
DANCOW ID 2 Box 40x120g
BABY 2
128 12583013 ID
DANCOW BABY 2 Box 12x550g 36
129 12583023 ID 8
130 12568417 BATITA 3+ Vanilla
DANCOW Madu 12x850g
Fortigro ID 1
DANCOW
131 12592981 UHT36x110mlN2ID
StrawberryFortigroUHT36x110 19
132 12593678 mlN3ID
DANCOW Coklat Fortigro 27
133 12578128 UHT36x110mlN2ID
DANCOW Coklat Fortgr UHT 21
134 12578154 36x180ml N1ID 3
135 12514845 LACTOGEN 2 24x350g
LACTOGROW 3 HoneyN3 ID
40x145g 2
136 12581688 ID
LACTOGROW 4 Honey12x735g 7
137 12571025 N2 ID 2
138 12495637 HONEY STARSEvaporated
CARNATION Cereal 18x150g N4 2
139 12510906 48x405g N2 ID 28
140 12577177 MILOPROMIL
S-26 Nuggets130x25g N1 XX
Pouch 12x400g 3
141 12425550 N2 ID 3
142 12437267 S-26 PROMIL 1 Pouch 12x700g ID 8
143 12437292 S-26 PROMIL
S-26 2 Pouch
PROMILGOLD 12x700g
2 Can SPOEID 2
144 12550871 24x400g N7 ID
S-26PROMILGOLDPHPRO1BL 12
145 12560883 NWHB233 12x400gID 2

Perbedaan Jumlah Kerusakan

Kode produk Jumlah Satuan Kode produk Jumlah Satuan Jenis kerusakan

Distributor pengirim Distributor penerima

ttd & stempel ttd & stempel

Tanggal/nama jelas Tanggal/nama jelas

 PRODUCT EXAMINATION REPORT
Dispatching from *) Receiving by *) Ref : 229.15.W.020-01
Sold to Party Code/Name Sold to Party Code/Name 6264067
Ship to Pary Code/Address Ship to Party Code/Address 6264067
Product Condition Checklist (Based on Actual Condition)
Product is still
No pest
Qty in Qty in Packaging is not severe Free from in sealed
No Material Description SU BatchCode Expiry date No insects contamination, not wet No broken glass No moldy No leak
Cs Pcs clean dented foreign smell condition (full
oil, etc
cases).

Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
1 12593691 DANCOW 1+ Madu Box 24x350g N1 ID 2

2 12593639 DANCOW 1+ Vanila Box 24x350g N1 ID 1

3 12597119 DANCOW 1+ Madu Box 12x1000g N2 ID 17

4 12597109 DANCOW 1+ Vanila Box 12x1000g N2 ID 12

5 12571028 DANCOW 3+ Madu Box 12x750g N1 ID 4

6 12597140 DANCOW 3+ Madu Box 12x1000g N2 ID 7

7 12597130 DANCOW 3+ Vanila Box 12x1000g N2 ID 22

8 12571049 DANCOW 5+ Vanila Box 12x750g N1 ID 4

9 12597124 DANCOW 5+ Madu Box 12x1000g N2 ID 1

10 12549791 DANCOW Full Cream Fortigro 24x390gID 4

11 12578064 DANCOW Full Cream Fortigro 12x780g N1ID 1

12 12578171 DANCOW Instant Frtgro SICh16(10x26g)N1ID 15

13 12578553 DANCOW Instant Frtgro BIB 24x390g N1ID 1

14 12578153 DANCOW Instant Fortigro BIB 12x780g N1ID 4

15 12578737 DANCOW InstantFrtgro Pouch 12x1000g N1ID 4

16 12578070 DANCOW Coklat Frtgro SICh 16(10x38g)N1ID 38

17 12578080 DANCOW Coklat Fortigro BIB 40x195g N1ID 1

18 12577939 DANCOW Coklat Fortigro BIB 24x390g N1ID 1

19 12577952 DANCOW Coklat Frtgro BIB 12x780g N2ID 2

20 12513374 LACTOGROW 3 24x350g N3 ID 2

21 12571044 LACTOGROW 3 Van 12x735g N2 ID 4

22 12571046 LACTOGROW 3 Honey 12x735g N2 ID 4

23 12571043 LACTOGROW 3 Vanila 12x1kg N2 ID 3

24 12571024 LACTOGROW 4 Honey12x1kg N2 ID 1

25 12570927 LACTOGROW 4 Van 12x1kg N2 ID 2

26 12564637 NEST CERELAC BrsMerahSICh16(8x20g) N4 ID 27

27 12564616 NEST CERELAC KcgHijauSICh16(8x20g) N4 ID 1

28 12450483 NEST CERELAC KcgHijau Box 40x120g N3 ID 5

29 12560550 NESTLE CERELAC BLBanana Milk 40x120gN2ID 2

30 12593690 NESTLE CERELAC ApelJerukPisang 40x120gID 1

31 12580944 NESTLE GOODNES Kurma Ajwa Milk 30x189ml 13

32 12595078 NESTLE GOODNES HABBATUSSAUDA 30x189ml 4

33 12599982 KOKO KRUNCH Combo Pack 48(20+10)g PRMNID 16

34 12551082 NESTLE KOKO KRUNCH Cereal 18x300g ID 1

35 12598237 KOKO KRUNCH SiCh 20(10(15g+4,5g)) PRID 34

36 12524064 NESCAFE Cappuccino 24x220ml N2 ID 19

37 12524063 NESCAFE Latte 24x220ml N2 ID 39

38 12524062 NESCAFE Caramel Macchiato 24x220ml N2 ID 15

39 12524070 NESCAFE Ice Black 24x220ml N2 ID 23

40 12524073 NESCAFE Premium Original Can 24x220ml ID 3

41 12524072 NESCAFE Premium Latte Can 24x220ml ID 5

42 12524071 NESCAFE Premium Mocha Can 24x220ml ID 1

43 12574796 MILO ACTIV-GO Pouch 12x790g N1 ID 2

44 12583797 MILO 3in1 ACTIV-GO Pouch 12x990g N1 ID 2

45 12540203 MILO ACTIV-GO UHT Cmbk 36x180ml N2 ID 32

46 12571173 MILO ACTIV-GO UHT Cmbk 9(4x180ml) N3 ID 20

47 12522732 MILO ACTIV-GO RTD 24x220ml ID 1

48 12556780 MILO ACTIV-GO Nutri Up RTD 24x220ml ID 5

49 12512795 BEAR BRAND White Malt RTD 24x140ml N3 ID 4

50 12573983 CARNATION SBC 48x365g N1 ID 1

51 12467478 MAGGI ML Ayam Sich 60(12x7g) 1

52 12327059 S-26 GOLD PROMIL 2 Can Top 6x900g N8 ID 4

53 12558957 S-26 PROMILGOLD 1 Can SPOE 24x400g N8 ID 1

54 12327075 S-26 PROMISE GOLD Can Top 6x900g N8 ID 1

55 12425551 S-26 PROCAL Pouch 12x400g N4 ID 1

56 12593687 DANCOW 1+ Madu Box 40x120g N1 ID 1

57 12583013 DANCOW BABY 2 Box 40x120g ID 1

58 12592981 DANCOW Vanilla Fortigro UHT36x110mlN2ID 50

59 12593678 DANCOW StrawberryFortigroUHT36x110mlN3ID 19

60 12578128 DANCOW Coklat Fortigro UHT36x110mlN2ID 160

61 12578154 DANCOW Coklat Fortgr UHT 36x180ml N1ID 8

62 12581688 LACTOGROW 3 Honey 40x145g ID 3

63 12571025 LACTOGROW 4 Honey12x735g N2 ID 1

64 12495637 HONEY STARS Cereal 18x150g N4 2

65 12510906 CARNATION Evaporated 48x405g N2 ID 1

66 12577177 MILO Nuggets 30x25g N1 XX 12

67 12425550 S-26 PROMIL 1 Pouch 12x400g N2 ID 1

68 12583804 MILO 3in1 ACTIV-GO Pbg 24(10x34g) N1 ID 1

69 12516463 MAGGI Seasoning 24x200ml N1 ID 1

70 12593691 DANCOW 1+ Madu Box 24x350g N1 ID 1

71 12597119 DANCOW 1+ Madu Box 12x1000g N2 ID 4

72 12597109 DANCOW 1+ Vanila Box 12x1000g N2 ID 11

73 12431350 DANCOW 3+ Madu 24x400g 9

74 12550586 DANCOW 3+ Vanila Box 24x350g ID 6

75 12571028 DANCOW 3+ Madu Box 12x750g N1 ID 1

76 12571060 DANCOW 3+ Vanila Box 12x750g N1 ID 5

77 12597140 DANCOW 3+ Madu Box 12x1000g N2 ID 8

78 12597130 DANCOW 3+ Vanila Box 12x1000g N2 ID 2

79 12550535 DANCOW 5+ Madu Box 24x350g ID 7

80 12571049 DANCOW 5+ Vanila Box 12x750g N1 ID 7

81 12549791 DANCOW Full Cream Fortigro 24x390gID 4

82 12578064 DANCOW Full Cream Fortigro 12x780g N1ID 11

83 12578171 DANCOW Instant Frtgro SICh16(10x26g)N1ID 90

84 12578170 DANCOW Instant Fortigro BIB 40x195g N1ID 19

85 12578553 DANCOW Instant Frtgro BIB 24x390g N1ID 13

86 12578153 DANCOW Instant Fortigro BIB 12x780g N1ID 4

87 12578070 DANCOW Coklat Frtgro SICh 16(10x38g)N1ID 10

88 12578080 DANCOW Coklat Fortigro BIB 40x195g N1ID 26

89 12577939 DANCOW Coklat Fortigro BIB 24x390g N1ID 5

90 12577952 DANCOW Coklat Frtgro BIB 12x780g N2ID 3

91 12437405 LACTOGROW 3 Van 24x350g 19

92 12513270 LACTOGROW 3 Honey 24x350g N3 ID 8

93 12513374 LACTOGROW 3 24x350g N3 ID 19

94 12571044 LACTOGROW 3 Van 12x735g N2 ID 10

95 12571046 LACTOGROW 3 Honey 12x735g N2 ID 7

96 12564637 NEST CERELAC BrsMerahSICh16(8x20g) N4 ID 96

97 12564616 NEST CERELAC KcgHijauSICh16(8x20g) N4 ID 104

98 12450483 NEST CERELAC KcgHijau Box 40x120g N3 ID 9

99 12450475 NEST CERELAC BrsMerah Box 40x120g N3 ID 14

100 12504547 NEST CERELAC BrsMerah AyamTomat40x120gID 20

101 12520019 NEST CERELAC Susu BerasMerah 40x120gN1ID 4

102 12593690 NESTLE CERELAC ApelJerukPisang 40x120gID 24

103 12580944 NESTLE GOODNES Kurma Ajwa Milk 30x189ml 26

104 12595078 NESTLE GOODNES HABBATUSSAUDA 30x189ml 6

105 12599982 KOKO KRUNCH Combo Pack 48(20+10)g PRMNID 42

106 12551827 NESTLE KOKO KRUNCH Cereal 18x150g ID 2

107 12598237 KOKO KRUNCH SiCh 20(10(15g+4.5g)) PRID 140

108 12524064 NESCAFE Cappuccino 24x220ml N2 ID 14

109 12524063 NESCAFE Latte 24x220ml N2 ID 9

110 12524062 NESCAFE Caramel Macchiato 24x220ml N2 ID 23

111 12524070 NESCAFE Ice Black 24x220ml N2 ID 5

112 12524073 NESCAFE Premium Original Can 24x220ml ID 4

113 12524072 NESCAFE Premium Latte Can 24x220ml ID 20

114 12556560 MILO ACTIV-GO Pouch 12x990g ID 9

115 12540203 MILO ACTIV-GO UHT Cmbk 36x180ml N2 ID 30

116 12556780 MILO ACTIV-GO Nutri Up RTD 24x220ml ID 13

117 12512795 BEAR BRAND White Malt RTD 24x140ml N3 ID 4

118 12573983 CARNATION SBC 48x365g N1 ID 28

119 12573992 CARNATION SBC 48x488g N1 ID 1

120 12467478 MAGGI ML Ayam Sich 60(12x7g) 12

121 12425532 S-26 PROMIL 2 Pouch 12x400g N2 ID 2

122 12558957 S-26 PROMILGOLD 1 Can SPOE 24x400g N8 ID 8

123 12327071 S-26 PROCAL GOLD Can Top 6x900g N8 ID 3

124 12327075 S-26 PROMISE GOLD Can Top 6x900g N8 ID 5

125 12425551 S-26 PROCAL Pouch 12x400g N4 ID 1

126 12593687 DANCOW 1+ Madu Box 40x120g N1 ID 37

127 12593688 DANCOW 1+ Vanila Box 40x120g N1 ID 2

128 12583013 DANCOW BABY 2 Box 40x120g ID 36

129 12583023 DANCOW BABY 2 Box 12x550g ID 8

130 12568417 BATITA 3+ Madu 12x850g ID 1

131 12592981 DANCOW Vanilla Fortigro UHT36x110mlN2ID 19

132 12593678 DANCOW StrawberryFortigroUHT36x110mlN3ID 27

133 12578128 DANCOW Coklat Fortigro UHT36x110mlN2ID 21

134 12578154 DANCOW Coklat Fortgr UHT 36x180ml N1ID 3

135 12514845 LACTOGEN 2 24x350g N3 ID 2

136 12581688 LACTOGROW 3 Honey 40x145g ID 7

137 12571025 LACTOGROW 4 Honey12x735g N2 ID 2

138 12495637 HONEY STARS Cereal 18x150g N4 2

139 12510906 CARNATION Evaporated 48x405g N2 ID 28

140 12577177 MILO Nuggets 30x25g N1 XX 3

141 12425550 S-26 PROMIL 1 Pouch 12x400g N2 ID 3

142 12437267 S-26 PROMIL 1 Pouch 12x700g ID 8

143 12437292 S-26 PROMIL 2 Pouch 12x700g ID 2

144 12550871 S-26 PROMILGOLD 2 Can SPOE 24x400g N7 ID 12

145 12560883 S-26PROMILGOLDPHPRO1BL NWHB233 12x400gID 2

Condition of Storage Y N
1 Meet the standards of Good Warehouse Practice P
2 Handled correctly P
3 Not mixed with non-human food products P
4 There is a pest control program P
5 Do not close to the wall P
6 Temperature and humidity of the room under normal conditions P

Overall result : Checked by Approved by

 HOA ASM
note :
Beri tanda X pada kotak sesuai dengan kondisi aktual (Y/N). Y:Yes, N: No
NESTLE item number adalah kode jenis product yang ada pada shipping carton