Page 1 of 2

PT. Trakindo Utama

SERVICE PARTS REQUISITION 4.3

WORK ORDER NO. A/C NO. CUSTOMER MODEL SERIAL NO.

1 WARRANTY
PT. BARUNA RAYA 3412 MARINE 60M05495
2 UNIT DOWN
SEGMENT NO.
ADDITIONAL PART
3 SCHEDULED

DELIVER TO DATE/TIME OF CATERPILLAR PARTS ? INITIAL SUPPLY PSOREF. NO

DELIVERY YES NO

CUSTOMER REPRESENTATIVE NAME CUSTOMER REPRESENTATION SIGNATURE TOTAL PARTS ESTIMATE

PREPARED BY APPROVED BY DATE/TIME

APPROVED

R
QTY E
APPROV
ITEM PART NUMBER CHANGED TO DESCRIPTION Estimat AL
UNIT PRICE EXTENDED PRICE C
Actual
ed D
1 5N-5369 DAMPER-FUEL LINE 4

2 5N-5371 CLAMP-FUEL LINE 2

3 2W-7884 BOLT AS 18

4 5N-5375 DAMPER-FUEL LINE 6

5 5N-5377 CLAMP-FUEL LINE 3

6 5N-5374 CLAMP-FUEL LINE 1

7 5N-5373 DAMPER-FUEL LINE 2

8 5N-5372 CLAMP-FUEL LINE 1

9 5N-5378 DAMPER-FUEL LINE 2

10 123-7410 PLATE 1

11 5N-5380 CLAMP-FUEL LINE 1

12 5N-5956 DAMPER-FUEL LINE 2

13 5N-5957 CLAMP-FUEL LINE 1

14 5N-5958 CLAMP-FUEL LINE 1

15 1W-6777 ADAPTER-INJECTION LINE 2

STUD-TAPERLOCK (3/8-
16 6L-8562 16X1.77-IN) 4

17 4N-5038 PIPE 2
STUD-TAPERLOCK (3/8-
18 7L-0520 16X1.968-IN) 4
SPACER (11.13X19.05X47-
19 114-9224 MM THK) 24

20 4N-5037 ELBOW 2

21 1W-6245 TUBE AS 1

22 1W-6246 ELBOW 1

23 1W-6244 TUBE AS 1

24 1W-6247 TUBE AS 1

25 009-4440 CONNECTOR 1

26 124-5571 TUBE AS 1

27 126-1359 HOSE AS 1

28 3J-7355 UNION-FLARED 1

29 7K-9197 ELBOW 1

30 1A-5183 BOLT (3/8-16X4.75-IN) 1

31 5B-2638 BOLT (3/8-16X5.25-IN) 1

32 6N-6733 SUPPORT-HOUSING 1

Form.366
 Page 2 of 2

PT. Trakindo Utama

SERVICE PARTS REQUISITION 4.3

WORK ORDER NO. A/C NO. CUSTOMER MODEL SERIAL NO.

1 WARRANTY
PT. BARUNA RAYA 3412 MARINE 60M05495
2 UNIT DOWN
SEGMENT NO.
ADDITIONAL PART
3 SCHEDULED

DELIVER TO DATE/TIME OF CATERPILLAR PARTS ? INITIAL SUPPLY PSOREF. NO

DELIVERY YES NO

CUSTOMER REPRESENTATIVE NAME CUSTOMER REPRESENTATION SIGNATURE TOTAL PARTS ESTIMATE

PREPARED BY APPROVED BY DATE/TIME

APPROVED

33 140-0024 TUBE AS 1

34 6M-7476 ELBOW 1

35 6N-7853 TUBE AS-OIL DRAIN 1

36 458-3639 ELBOW 1
BRACKET-LIFTING (FRONT,
37 7N-1751 RH) 1

38 0S-1585 BOLT (1/2-13X1.5-IN) 4

WASHER-HARD
39 5P-8245 (13.5X25.5X3-MM THK) 8
BRACKET-LIFTING (REAR
40 7N-1749 LH)
1

41 4B-3823 BOLT (1/2-13X1.25-IN) 4

42 6N-0008 ADAPTER 1

43 0L-1352 BOLT 13

Form.366