PT.

ANDALAS
JL.MERPATI NO.1
MALANG-INDONESIA

Order No :

To : Dokkusae Company Ltd.

Sakotsu Dae 12 – 20
OSAKA, JAPAN

We would like to place out order for your commodities to be strictly in compliance with
the particulars given in your letter of January ……………

Discrepancies, if any, will be at your own risk, unless authorized by us.

Terms and conditions :

Time of delivery : Not later than January ………………

Payment : An irrevocable, transferable to be opened shortly by Bank of
Wearnes – Malang to the Bank of Osaka – Japan, in your favour.
Notify address : PT. Andalas, Jl. Merpati No. 1 Denpasar
Import License : No. 2512261

Please note that the number of this order and import license should be quoted on all
shipping documents and on each packing.

For your confirmation we would appreciate your returning us two of your signed copies
of this order sheet or else please provide us with duty signed sales contract.

Marks Description of goods Unit Price Total

Tanjung Perak .......................................... US $.................

No. ............................ .......................................... per units
Order No.................... .......................

Total FOB US $........................

Freight US $........................
Total C&F US $........................

Malang,.........................................

Osaka :
Confirmed by : Your faithfully
.......................................... ......................................................

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