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OLDTOWN WHITE COFFEE

Lot 896, Jalan Subang 10, Taman Perindustrian Subang, 47600 Subang Jaya, Selangor. Tel : 03 8060 0880 Fax : 03 8060 4660

Date : ______________________

Dept : _______________________

ACKNOWLEDGEMENT SLIP
NO 1 Amplifier DESCRIPTION QUANTITY 1

Hereby I acknowledged and received the above item.

1. 2.

Name I / C No

: : :

3. Designation

Issued By: Name& Sign (KAP Admin Division) *For Internal Use Only

Verified By: Name& Sign

Received By:. Name& Sign

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