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Telp.

/ Fax : +6221 5315 2699 / +6221 5315 4199


Email : sales@dnspmed.com / Web : www.dnspmed.com

Install Maintenance Service

GENERAL DETAIL
Date : Order Number :
Customer Name :
Address :
Machine Type : Serial No :
Make / Model Date Of Entry :

DETAILS OF WORK CARRIED OUT

PARTS USED
PART NO : DESCRIPTION COST

Parts/Material :
Labour :
Total :

SIGNATURES
In referring to this job, quote No. The times recorder are
correct. The work has been completed to my satisfaction
Costomer Signature :
Engineer Print :

PT. DINNESHA PRATAMA


Golden Road ITC BSD City Sektor VII C.28 NO.35 Serpong 15321, Kota Tanggerang Selatan Provinsi Banten,
INDONESIA

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