QUICAM S.R.L. DE C.V.

Montes Urales 755, piso 5 11000 Miguel Hidalgo, CDMX México

Request for Quotation
Please fill in the following information and send TDS, MSDS and COA in PDF format for each raw material, as well as your company's incorporation certificate.

Quotation date: September 13, 2023 Supplier Name: PT. KMR Irrrevocable L/C at sight
Payment Terms:
Quotation validity: One month Supplier Country: Indonesia FOB
Incoterms:
Supplier Address: 2-3 weeks
Lead time:
Contact Person: Prana Bank Details: Delivery time: 2-3 weeks
Telephone: 62818683128 Origin: Indonesia
khatrisnacahayapertiwi@gmail.com
Email: COA Type: RBD

Unit Price Supplier's

No. CAS No. Raw Material Description Packing Quantity MT Total FOB Unit Price CIF Total CIF
FOB Comments

1 CAS 8001-31-8 RBD Coconut oil For the manufacture of: Flexi bag 21.5 $1.26 $27.09 $0.00 $0.00
Potassium Soap
2 CAS 8001-22-7 Soybean oil Pesticide and acaricide in 10 $0.00 $0.00 $0.00 $0.00
plants, 100% biodegradable.
3 CAS 8002-75-3 Palm oil 10 $0.00 $0.00 $0.00 $0.00
4 CAS 1310-73-2 Raw materials of 99% purity,
Sodium hydroxide 10 $0.00 $0.00 $0.00 $0.00
without contaminants - lead,
5 CAS 1310-58-3 Potassium hydroxide arsenic, etc. 10 $0.00 $0.00 $0.00 $0.00
For the manufacture of:
Antifreeze
6 CAS 107-21-1 Ethylene glycol 10 $0.00 $0.00 $0.00 $0.00
Raw materials of 99% purity,
without contaminants - lead,
arsenic, etc.

For the manufacture of:

7 CAS 57-13-6 Technical grade Urea USP grade Urea 10 $0.00 $0.00 $0.00 $0.00
Purity used in cosmetics to
make creams and ointments.

Raw materials of 99% purity,

without contaminants - lead,
arsenic, etc.
 For the manufacture of:
USP grade Urea
Purity used in cosmetics to
make creams and ointments.

Raw materials of 99% purity,

Agricultural grade
8 CAS 57-13-6 without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
Urea
arsenic, etc.

For the manufacture of:

Automotive grade Urea
9 CAS 7664-41-7 Ammonia 10 $0.00 $0.00 $0.00 $0.00
Raw materials of 99% purity,
without contaminants - lead,
arsenic, etc.

For the manufacture of:

Sodium sulfate USP
Sodium sulfate
Solid powder used in drinking
anhydrous
water.
10 CAS 7757-82-6 technical // Textile 10 $0.00 $0.00 $0.00 $0.00
sodium sulfate
Raw materials of 99% purity,
preference
without contaminants - lead,
arsenic, etc.
For the manufacture of:
Sodium lauryl ether
11 CAS 151-21-3 SLES 28% 10 $0.00 $0.00 $0.00 $0.00
sulfate N70
Raw materials of 99% purity,
12 CAS 50-00-0 Formaldehyde without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.
For the manufacture of:
Sodium bitartrate
It is used in dental cleaning in
combination with other
13 CAS 87-69-4 Tartaric acid products. 10 $0.00 $0.00 $0.00 $0.00

Raw materials of 99% purity,

without contaminants - lead,
arsenic, etc.
 For the manufacture of:
Hospital sanitizer for operating
room
Benzalkonium
14 CAS 63449-41-2 10 $0.00 $0.00 $0.00 $0.00
chloride
Raw materials of 99% purity,
without contaminants - lead,
arsenic, etc.

Raw materials of 99% purity,

15 CAS 111-42-2 Diethanolamine without contaminants - lead, 20 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

16 CAS 56-81-5 Glycerine without contaminants - lead, 20 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

17 CAS 144-55-8 Sodium bicarbonate without contaminants - lead, 60 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

Sodium dodecyl
18 CAS 68411-30-3 without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
benzene sulfonate
arsenic, etc.
 Raw materials of 99% purity,
19 CAS 6131-98-2 Sodium Bitartrate without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Number of solids 30%.

Raw materials of 99% purity,

20 / Potassium Soap 10 $0.00 $0.00 $0.00 $0.00
without contaminants - lead,
arsenic, etc.

Raw materials of 99% purity,

21 CAS 68603-42-9 Coconut Amide without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

22 CAS 77-92-9 Citric Acid without contaminants - lead, 20 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

Sodium Lauryl
23 CAS: 68585-34-2 without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
Sulfate (SLS) 28%
arsenic, etc.
 Raw materials of 99% purity,
24 CAS 68955-19-1 Sulfopon 1216G without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

25 CAS 6834-92-0 Sodium Metasilicate without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

Technical grade
26 CAS 9005-84-9 without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
Starch
arsenic, etc.

Raw materials of 99% purity,

Hydroxyethylcellulos
27 CAS 9004-62-0 without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
e
arsenic, etc.

Raw materials of 99% purity,

28 CAS 7757-82-6 Sodium Sulfate USP without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.
 Raw materials of 99% purity,
29 CAS 57-13-6 Urea USP without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

30 CAS 57-13-6 Urea Automotive without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

31 / Antifreeze without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
arsenic, etc.

Raw materials of 99% purity,

Hospital sanitizer for
32 / without contaminants - lead, 10 $0.00 $0.00 $0.00 $0.00
operating room
arsenic, etc.

3- Raw materials of 99% purity,

33 109-55-7 Dimethylaminopropyl without contaminants - lead, 20 $0.00 $0.00 $0.00 $0.00
amine arsenic, etc.

Total FOB, USD: $27.09 Total CIF, USD: $0.00

No. CAS Item Name Specs Qty Keterangan

Raw materials of 99%

purity, without
1 CAS 111-42-2 Diethanolamine 20
contaminants - lead,
arsenic, etc.

Raw materials of 99%

purity, without
2 CAS 56-81-5 Glycerine 20
contaminants - lead,
arsenic, etc.

Raw materials of 99%

purity, without
3 CAS 144-55-8 Sodium bicarbonate 60
contaminants - lead,
arsenic, etc.

Raw materials of 99%

purity, without
4 CAS 77-92-9 Citric Acid 20
contaminants - lead,
arsenic, etc.

Raw materials of 99%

purity, without
5 109-55-7 3-Dimethylaminopropylamine 20
contaminants - lead,
arsenic, etc.