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 005 Do Number SDA-QUO-21-BH18
Date 07 Januari 2022 Shipper Name SELINDO DWIJAYA ABADI
Name of Supplier SELINDO DWIJAYA ABADI Package

Po/Project
164/BDSI-PO/XII/2021 parcial 1
No Name of the goods Description Qty price/unit Remarks

1 Ex-Emergency Lighting BFE8120 70W Oktech Product 5 set 11,920,000 bh26

ME 057 HSE JKT

Prepare by Checked by Acknowled by

Adm Logistic Logistic Manager