AMTA Engineering LLC

DOCUMENT TRANSMITTAL FORM

To : Sebastian Hassel
Designation : Date: 09-Apr-19
Company : NEURIO TECHNOLOGIES LIMITED DTF No : X19/TRF/03/003
Project Ref No : AMTA/2019/ENR-TR/03/06

Rev. No. of
Sl.No. Drawing / Document No. Description Remarks
No. Copies

1 AMTA/2019/PO/03/002 PURCHASE ORDER

Comments: (Attach additional sheets, if required)

For: Information Action Approval

Construction Review/Comment Records
Reference Return superseded documents Others

Acknowledgment Required
Acknowledgment Not-Required
Received above document(s)
Signature :
Signature : Name (Sender) : Abdullah M. Al Jassasi
Name : Designation : General Manager
Designation : Company : AMTA Engineering LLC
Date : Date : 09-Apr-19

(Please sign & return original of this form to the sender, if called for)