Please print this letter under Company Head Letter

Jakarta, ……………..
To.
PT MIDEA PLANET INDONESIA
PERWATA TOWER LANTAI 3 JL PLUIT
SELATAN RAYA KAV.1
PENJARINGAN PENJARINGAN
KOTA ADM. JAKARTA UTARA DKI JAKARTA
14440 INDONESIA

Dear,

The undersigned,

Name :
Job Position :
Company Name :

Herewith we would like inform for delivery address to these below:

1. Store/ WH name ______________________

Store/ WH location ______________________ (Photo should attached in next page)

2. Store/ WH name ______________________

Store/ WH location ______________________ (Photo should attached in next page)

3. Store/ WH name ______________________

Store/ WH location ______________________ (Photo should attached in next page)

For above delivery address, we state and confirm that the delivery address is true and valid as per our
registered address and we confirm that for our Purchase Order (PO) and our Delivery Order (DO) to
your Company will state and using above delivery address.

Any issue or dispute arising because of this statement, will be our full responsibility and PT Midea
Planet Indonesia will be free of any charges of the loss might happened because of this statement.

Thank you for your cooperation

Sincerely yours,

PT. XXXXXXX

Stamp duty
IDR 10,000

Name
Job Position