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PT Chandra Asri PetrochemicalTbk


Wisma Barito Pacific Tower A, 7'h Floor
Jln. Let. Jend. S. Parman Kav. 62-63 Chandra Asri
Jakarta - 114'l 0, lndonesia
T 62(21\ 530 79s0 F 62(21) 530 8930
www.chandra - asri.com
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t 8990367347
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DELIVERY NOTE
Shipment No
Delivery Date 04-u5-21)t3
Contract / Order No 20 0 015l" 4 971310 0221369
]TIMOR 110 KYAI SEPLiH
Customer PO No nO)n n t n1-
v4JVA-!VJL_.
Truck No L 95Bl uL ' ',''i
Delivery No 4 0 U069 !t69I :'
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, .'* Certificate of OK
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sARANA yJI<IIMI ra. Ana lysis
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I Port of Loading
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Port of
..:r

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Destination
Vessel Name
Container No IDCU 1L)/U848
Seal No 55J
H2 124

No
Description of
Goods
Lot No Bags Qty Uom L
10 qFLrl)f l / HDPE FILU - PRIUE Ai3040iuj _J55 8.95U MT
ZO sF5Uo / HDPE F]IN,I _ PRIIVIE 423040/04 282 /.050 MT
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Doc. Qredit No: 014 ITSVO5504 I Dace of Issue:23042?
IT,ACE UT.' IAK.LNG .I.N CIIARGiJ : CTLUGCN
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lssued By, Delivered By, Received By,

Delivery I nventory Transporter

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SCG BARITO LQgr STfC


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Fo re n Foreman .,.i i"iEil-AFA FLASTI-l:
PT I/ PT. d

D/N Gabungan :

Lallec Quai:i-.rt-.,v t!r.'.): L


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SETELAH BARANG KELUAR DARI PT CHANDRA ASRI PETROCHEMICAL TbK SEPENUHNYA ADALAH TANGGUNG PENGANGKUTAN
PENGANGKUTAN HARUS MEMASTIKAN TANDATERIMA DAN CATATAN DARI CUSTOMER DITULIS DISISI KANAN DAN KIRI SURAT JALAN

Customer Warehouse Frinted: #1 Po bate :18/A4/23


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