PT.

FAJAR MITRA INDAH PURCHASE ORDER

GRAHA FAMILYMART LT.3A JL. SETIABUDI SELATAN KAV.10
KARET, SETIABUDI,Jakarta Selatan. Indonesia 12920 PO No : 2700000611
Phone : 021 - 57904567 Fax : Order Date : 25.03.2021

NPWP : 21.036.404.8-011.000 Delivery Date : 07.08.2021

Supplier : 11966-Upods Karya Indonesia, PT

Ship to : FME MEDITERANIA PALACE RESIDEN

Address : JL RS Fatmawati No. 38A RT. 002 RW. 005. Address : . Apartemen Mediterania Palace Residence. Unit
Cilandak Barat Cilandak. Kota Adm. Jakarta LG / B
Selatan DKI Jakarta. 12430
Phone : 021-2769085 Telp : 021-30043000
Fax : Currency : IDR TOP : V030

NO Description Stat Qty UoM Price/UoM Total Price

1 605464 21036873
Upods Device Alat Hisap Vapor - CG 5 PCS

2 605465 21036880
Upods Cartridge 2S - CG 10 PCS

3 605466 21036897
Upods Refill Starwberry Btl 30ml - CG 3 PCS

4 605467 21037283
Upods Refill Mango Freeze Btl 30ml - CG 3 PCS

TOTAL
TAX
GRAND TOTAL
Remarks :

NOTE : Please include the PO number on all invoices.

Order By, Approved by,

Admin CPO 1 Store Manager

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