Delivery Sheet Bio Holistik Permana

Client： Majalengka PO Date：

NO Name Size Unit Amount Price Total

1 3 Ply Face Mask-Import General Size A 10 Rp60,000.00 Rp600,000.00

2 Nitrile Gloves Size L L B 10 Rp200,000.00 Rp2,000,000.00

3 N95 Mask With Valve 3M General Size C 10 Rp35,000.00 Rp350,000.00

4 N95 Mask Non Valve 3M General Size D 20 Rp25,000.00 Rp500,000.00

5
6

10

11

12

Total Rp3,450,000

Note
Delivery Signature： Consignee Signature：
Bio Holistik Permana

11-Jan-21

Note

Rp3,450,000.00