PENDING APPROVAL

PT DONALDSON FILTRATION INDONESIA

SOUTH QUARTER TOWER B 16/F UNIT E
JL RA KARTINI KAV 8 CILANDAK BARAT
JAKARTA SELATAN, DKI JAKARTA, 12430, Indonesia
Tel: +021 22702462
Fax: +021 22702463
NPWP: 02.058.912.3-059.000

Standard Purchase Order

Purchase Order 54009154
Revision 1
Purchase Order Date 04-JUL-2023
Revision Date 17-JUL-2023
Buyer MUTHMAINNAH, PUTRI

Supplier: DONALDSON INDUSTRIAL CR SRO

KRALOVSKY VRCH 1986
KADAN,
432 01
Czech Republic

Ship To: KOMPLEK PERGUDANGAN CENTRAL CAKUNG BUSINESS PARK

BLOK I NO.62, JL. CAKUNG CILINCING RAYA KM.3
RT.1/RW.10, ROROTAN, CILINCING, JAKARTA UTARA
DKI JAKARTA, 14140
INDONESIA

Bill To: PT. DONALDSON FILTRATION INDONESIA

SOUTH QUARTER TOWER B
16/F, UNIT E, JL. RA KARTINI KAV 8/CILANDAK BARAT
JAKARTA SELATAN, 12430
Indonesia

Supplier No. Payment Terms Freight Terms INCOTERMS 2010 NAMED PLACE

23687 NET 75 FCA

Supplier Contact Name Fax Number Phone Number Requester

Notes:

Line Donaldson Part No / Rev / Requested Ship Date / Quantity UOM Unit Price PO Amount Tax Amount
Promised Ship Date (CZK) (CZK) (CZK)
Supplier Part No / Legacy No /
Description

1 1C603598 REV 000 15-SEP-2023 0 EACH 71,808.34 0.00 0.00

HRE 4000 TROP ULTRAFILTER ADSORPTION DRYER +SEAWORTH-P. 430 x 235 x 373cm

This line CANCELLED on 17-JUL-2023

Original quantity ordered: 1
Quantity CANCELLED: 1

This shipment CANCELLED on 17-JUL-2023

Original quantity ordered: 1
Quantity CANCELLED: 1

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 Standard Purchase Order

Line Donaldson Part No / Rev / Requested Ship Date / Quantity UOM Unit Price PO Amount Tax Amount
Promised Ship Date (CZK) (CZK) (CZK)
Supplier Part No / Legacy No /
Description

2 1C603662 REV 000 15-SEP-2023 2 EACH 1,770,817.32 3,541,634.64 0.00

HRE4000 TROPICAL HIGH ALTITUDE

PO Total : 3,541,634.64 (CZK)

VAT 0% Tax Total : .00 (CZK)
PO + Tax Total : 3,541,634.64 (CZK)

Donaldson Purchase Order Terms and Conditions

Donaldson Purchase Order Terms & Conditions can be found on http://purchaseorderterms.donaldson.com/, available in your local language.

Acceptance of this Purchase Order shall be subject to Donaldson Purchase Order Terms & Conditions.

Any deviation/alteration from this Purchase Order and the underlying conditions require our explicit written acceptance.

In no event shall any term of the Supplier be applicable to the sale of goods & services under this Purchase Order.

Do ensure that Purchase Order number appears on all documents pertaining to this Purchase Order.

In case of capital equipment orders, acceptance of this Purchase Order shall be subject to "Additional Purchase Order Terms and Conditions for Capital
Equipment" which can be found on the same site as above.

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