PURCHASE FORM

PT. Erlangga
100 H. Bapping Street, Pasar Rebo
Ciricas, Jakarta Timur Date: 15-Jun-13

CUSTOMER BILL TO DELIVER TO

Guru Ilmu Book Store PT. Erlangga 76 Perintis Kemerdekaan Street,
Simpang Luar Parit, Teluk Kuantan

START DATE CANCEL DATE ORDERED BY SENT VIA FOB TERMS

15-Jun-13 Guru Ilmu Book Store DHL express air cargo PT. Erlangga
Unit Description Unit Price ($) Amount ($)
20 "The Old Man and the Sea" by Ernest Hemingway 35,000.00 700,000.00
12 "Sherlock holmes's Old Cases" by Sir Arthur Conan Doyle 40,000.00 480,000.00
40 "The Mistery of The Express Train" by Maywood Easton 17,000.00 680,000.00
20 "Siti Nurbaya: Kasih Tak Sampai" by Marah Rusli 50,000.00 1,000,000.00

Delivery cost 115,000.00

Packing Charge 50.00
 Subtotal ($) 2,975,050.00

Discout (%) 30 892,515.00

AUTHORIZED SIGNATORY DATE
Total Amount ($) 2,082,535.00
PURCHASE FORM
15-Jun-13

DELIVER TO
76 Perintis Kemerdekaan Street,
Simpang Luar Parit, Teluk Kuantan

TERMS

Amount ($)
700,000.00
480,000.00
680,000.00
1,000,000.00

115,000.00
50.00
2,975,050.00

892,515.00

2,082,535.00
© TemplateLab.com