PACK SLIP PACK SLIP 1001084313

PACK SLIP DATE Feb 6, 2020

PURCHASE ORDER NO PO 2001-002 PRODIA NIPT TG 1
Sold By: Ship From:
ORDER DATE Jan 2, 2020
Illumina Singapore Pte. Ltd. Illumina Cambridge Ltd UPS 3PL
CUSTOMER NO 6000024647
29 Woodlands Industrial Park E1 North 11811 Landon Dr
Tech Lobby 3 Mira Loma California 91752 SALES ORDER NO 1822524 ZOR
#02-13/18 USA Page 1 of 1
Singapore 757716
Singapore

Tax ID 200310311N Tax ID GB726035159

SHIP TO: BILL TO:
PT. Pandu Biosains PT. Pandu Biosains
Dico Dukuh - Kramat Jati
Dukuh - Kramat Jati Jln. Raya Pondok Gede No. 18B
Jln. Raya Pondok Gede No. 18B Jakarta 13550
Jakarta 13550 Indonesia
Indonesia

1001084313
QTY
LINE # CATALOG # ITEM DESCRIPTION BATCH# / SERIAL# PACKAGE NO U/M
SHIPPED

000010 20030411 TG NSQ 500/550 HO Kit v1.3 (75 cycles) 3 EA

TGNextSeq™500 Hi-Output RGTCARTv1
15061437 11474131 3 3 EA
(75CYS)
15063636 TGNextSeq™500 Buffer Cartridge 11474132 1 3 EA

15063638 TG NextSeq® Accessory Box A147413-3 3 3 EA

TG NextSeq™ 500/550 Hgh-Otpt FC CART
15068841 20416288 2 3 EA
v2

(*) This Catalog number appears on multiple lines on the pack slip. The quantity ordered is recorded on only one of these lines. TOTAL QTY 3
SHIPPED

For any questions regarding your shipment, please contact CustomerService at customerservice@illumina.com

CARRIER CEVA Freight LLC

WAY BILL NUMBER 172-40148010