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DELIVERY NOTE No.

110636

PT. Prima Alkesindo Nusantara Page 2 /3


Komp. Perkantoran Gading Bukit Date 11.07.2019
Indah Blok C 12-15 Order PO/19/V/028
Jl Bukit Gading Raya.Kelapa Gading Perma Purchase ord... 20.05.2019
Your reference Mrs. Apoliniaris
14240 Jakarta Utara Fax (62-21)4513876
INDONESIEN

Itm Item no. To be delivered Em... Delivery volume


Description Quantity
Customs Tariff No: 84716070
Serial numbers 180143558 - 180143559

30 00003818 2,000 PCS 2,000


Transport case Docon 7, basic
Customs Tariff No: 42021990

Batch
AW21615 2,000

40 00003673 2,000 PCS 2,000


Transportkoffer Docon 7
DOC120-001 00 00-00 c-3
Customs Tariff No: 42021990
Serial numbers 190300799 - 190300800

50 93005614 2,000 PCS 2,000


Lithium Ion Battery Pack
DOC100-001 20 00-00 a-4
Nominal Voltage: 22.2 V
Number of Cells: 12
Energy: 99.9 Wh
Capacity: 4500 mAh
UN 3481 - PI966- Section: II
SoC: < 30%
Customs Tariff No: 85065010

Lithium Ion Battery Pack


(Einstufung: freigestellte Batterie, Lieferung ohne Versendererklärung)

Batch
AST301 2,000

UN3481 PI966 Section II


Lithium Ion Batteries contained with equipment
DELIVERY NOTE No. 110636

PT. Prima Alkesindo Nusantara Page : 3 /3


Komp. Perkantoran Gading Bukit Date : 11.07.2019
Indah BlokC 12-15 Order : PO/19/V/028
Jl Bukit Gading Raya.Kelapa Gading Perma Purchase ord... : 20.05.2019
Your reference : Mrs. Apoliniaris
14240 Jakarta Utara Fax : (62-21)4513876
INDONESIEN

Itm Item no. To be delivered Em... Delivery volume


Description Quantity
(Einstufung: freigsestellte Batterie, Lieferung ohne Versendererklärung)

Every Device includes one Lithium Ionen Battery (below 100 Wh) and is packed in a carton with an
additional Lithium Ionen Battery for the device (also below 100 Wh)

Weight Weight
Gross Net
33,200 KG

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