INTERNATIONAL ORDER HEADER (IOH)

Purchaser (Sold-To): Otak International Co. P.O. 62/2022

End-User (Ultimate Consignee) Information - Full legal entity name, full address, contact details if known:
(NO ABBREVIATIONS, ONLY FULL COMPANY NAME)
Suez Oil Petroleum Co.
Suez,Egypt

End-Use (Specific purpose for which the items will be used):

Fire Fighting
Foreign Consignee (Foreign Ship-To) Name, Address, Contact Information:
Otak International Inc.
2080N 15th Avenue Melrose Park,IL 60160, USA

Incoterm + Seaport/Airport, US Border City, or Canadian City:

X EXW Seller Plant ($100 handling fee applies) CIP (name of foreign sea port or airport)

FCA (name of US Border City or Canadian ship-to City)

Other (customer must specify) NOTE: Canadian Non-Resident Importer Program = DDP

US Freight Forwarder Name, Address, E-mail, Phone (Canada = customs broker; Mexico = US border broker):
(NOTE: If Incoterm is CIP, Peerless will select freight forwarder.)
EX-WORK
Freight Charges (If EXW, leave blank): Included in order Peerless prepay and add to invoice

Method of Shipment: Courier Truck Air Sea

If EXW, name of Carrier/Courier or Trucking Company, and Account Number:

If EXW, Customer Contact for shipping instructions:

**FIRE PUMP ORDERS** (Complete the following fire pump nameplate informaton for new & replacement nameplates)
UL Listed and/or FM Approved fire pumps now require that the fire pump nameplate have manufacturer information for the
driver and controller. This information is required for Fire nameplate compliance on new, replacement, and duplicate pump
Sales Order No: Pump Serial Number:
Fire Nameplate Replacement: Yes or No Peerless Pump Approved Packager: Yes or No
When pump components are existing or packaged by an approved packager, please complete the respective
manufacturer information below:
Driver: Mfg. Name:
Mfg. Serial No.: Mfg. Model Number:
Power/Voltage/Frequency/Speed:
Control Panel: Mfg. Name:
Mfg. Serial No.: Mfg. Model Number:
Power/Voltage/Frequency/Speed:
Comments:

PPU1FB530220 Ver. 4; Version Date: 9-March-2022