Delivery Return

DR No: DRID04320201123301SFLTE P1509254842_D009 | LTE Phase 7Project Contract No: SS1ID2017122001SENLTDPO227

Applied by Akbar Siddieq Applicant ID: 6469000696 Applicant's Tel. 081514652269
Received By SIN Semarang Consignee's ID Consignee's Tel
Carrying Mode Project Pickup Transportation Method Handcarry Carrier: Handcarry
Start Warehouse SIN Semarang ID028 Destination Warehouse SIN Semarang ID043 Site No.: SIN Semarang ID043
Source Province Central Java Source City Central Java Source Region Central Java
Destination Province Central Java Destination City Central Java Reuse date of expiry 27-Oct-22
Required Truck Type 11/23/2020
Src Warehouse Addr. INDONESIA Java Semarang Kawasan Industri Candi blok V no 28. Semarang ID028
Destination Address: INDONESIA Java Semarang Kawasan Industri Candi blok V no 28. Semarang ID043
Return Reason: Material need input to system
No. BOX/PALLET Material Code Equipment Description QTY Box Specification Unit Reused / Not reused Gross Weight Project Site Remarks
1 180000367789 B8200 Rack（Including FA0A）| 1 PCS Reused Partial item from SIN Semarang ID028
2 180000362988 CCF0| 1 PCS Reused Partial item from SIN Semarang ID028
3 130000141602 BPN2|Baseband Processing Board Type N 2| 1 PCS Reused Partial item from SIN Semarang ID028
4 129122851010 SA0|Site Alarm Module 0| 1 PCS Reused Partial item from SIN Semarang ID028
5 130000110004 PM3|Power Module 3| 2 PCS Reused Partial item from SIN Semarang ID028
6 180000367786 CCE1B 1 PCS Reused Partial item from SIN Semarang ID028
Total:
Applicant(Signature): Transportion manager(Signature):
Signature : Signature :
Date : Date :
ATTENTION: