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<div class="prdoc-word-body">DAFTAR INVENTARIS BARANGTemplate Administrasi Inventaris Nama Instansi/Perusahaan : ______________________________________________Unit/Bagian&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;: ______________________________________________Periode&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;: ______________________________________________Penanggung Jawab&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;: ______________________________________________ DAFTAR INVENTARIS <table style="border-collapse:collapse;margin:0 0 8px;width:446.25pt"><colgroup><col style="width:27.75pt"><col style="width:93pt"><col style="width:76.5pt"><col style="width:71.25pt"><col style="width:50.25pt"><col style="width:63.75pt"><col style="width:63.75pt"></colgroup><tbody><tr><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">No.</td><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">Kode Inventaris</td><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">Nama Barang</td><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">Merk / Tipe</td><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">Jumlah</td><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">Kondisi</td><td style="background-color:#DBEDFA;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">Lokasi / PJ</td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt">1</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">2</td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt">3</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">4</td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt">5</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">6</td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt">7</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">8</td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt">9</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr><tr><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt">10</td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td><td style="background-color:#F5F5F5;vertical-align:middle;border:1px solid #777;padding:4pt 5pt"> </td></tr></tbody></table>Keterangan Kondisi: B = Baik | RR = Rusak Ringan | RB = Rusak BeratCatatan: ........................................................................................................ PENGESAHAN <table style="border-collapse:collapse;margin:0 0 8px;width:451.45pt"><colgroup><col style="width:150.48pt"><col style="width:150.48pt"><col style="width:150.48pt"></colgroup><tbody><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">Disusun oleh</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">Diperiksa oleh</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">Mengetahui</td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> </td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> <p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none"> </td></tr><tr><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">(........................)<p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">Nama/Jabatan</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">(........................)<p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">Nama/Jabatan</td><td style="vertical-align:middle;border:1px solid #777;padding:4pt 5pt"><p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">(........................)<p data-prdoc-style="" style="line-height:1.15;font-family:&quot;Arial&quot;;font-size:11pt;text-align:center;margin-top:0pt;margin-bottom:0pt;line-height:1;margin-left:0pt;margin-right:0pt;text-indent:0pt;border-top:none;border-right:none;border-bottom:none;border-left:none">Nama/Jabatan</td></tr></tbody></table></div>

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