RECEIPT SAMPLE

Project
Sample Order

: PT. WANAGON ANOA INDONESIA

: A010/WAI
CV. TETHIS
Order to
NUSANTARA

Sender

Phone

:
085340220933/081140
04606

Fax
Email

Phone

::
thetisnusantara@gmail.co
m
:
baso_0904007@yahoo.c
o.id
:
agungwijaya_st@yahoo.co
m

PT YINYI MINING
INVESTMENT GROUP, Ltd

Fax
Email
Deadline
Result Report
By

Fax

Email

SAMPLE ORDER
No
1
2
3
4
5
6
7
8
9
Notes :

Sample Number

Quantity

Instruction

SC D5/2
SST 06
SST 07

1 Bag
1 Bag
1 Bag

Fe & Ni
Fe & Ni
Fe & Ni

Mowundo, 29 Agustus 2013

Sender

Recipient

CV. THETIS NUSANTARA

Quality Control

PT. YINYI MINING INVESTMENT