PT BOHAI DRILLING SERVICE INDONESIA

Ruko Atap Merah Blok A 5-6

Jl. Pecenongan Raya No 72,
Kebon Kelapa Gambir
Jakarta Pusat DKI Jakarta 10120
Telp./Fax. No. :+6221-38900070/68 , Fax : +6221-385-4180

RECEIVING THE GOODS FORM

Number 002 Do Number SDA-QUO-21-BH90 rev
Date 07 Januari 2022 Shipper Name SELINDO DWIJAYA ABADI
Name of Supplier SELINDO DWIJAYA ABADI Package

Po/Project
103/BDSI-PO/IX/2021
No Name of the goods Description Qty price/unit Remarks

10'X1-1/4" X 12" X 42 DD PN 55-

1 BRAKE SHOE BLOCK
1103
32 EA 3,830,000 031 JKT 21
2 BH28
3
4

Prepare by Checked by Acknowled by

Adm Logistic Logistic Manager