Client: (PMC)

(PMC):: PD Contractor:

TRANSMITTAL
No

Office Date:

Project Name/No/Description

To/Address

Attention

We are sending via

The items detailed below

Item No Description Date

Purpose of transmittal

Remarks

If the enclosures received are not listed above, please notify APD at once, at the office indicated above. Please sign and return the duplicate copy of
this form and retain the original for your records.

Issued by (Name) Signature Date

Received by (Name) Signature Date

Job file Copy to