Delivery Note & POD

Purpose Of Delivery：
To site(HW delivery) MR No.： MID123033013339 Bill No.

RAD： 2023-04-12 09:00:00 MOS: 2023-04-12 00:00:00 RSD： 2023-04-10 09:00:00

KAMPUNG TUNYAK INDUK DSN. PINTU RIME DS. TUNYANG KECAMATAN TIMANG GAJAH KAB
Delivery Address：
BENER MERIAH Aceh Bener Meriah

Subcon WH/X-Docking： Subcon WH/X-Docking Receiver： Pickup Person：

Subcon： PT. Biosron Remark：

Site Receiver： Thomas Apela Manggal Gaspra/081216678901

Site Information ③Site Transfer(All)

Site: 01BMH0020-01BMH0001_HAWK_NEW/Potential_More4000_0658- (Remark the actual site when destination site change)

LAMPAHAN/01BMH0001
Address: KAMPUNG TUNYAK INDUK DSN. PINTU RIME DS. TUNYANG KECAMATAN TIMANG GAJAH KAB BENER
MERIAH

Address: _______________________________________________________________________
Project : 56A0H3G/Indonesia IOH Wireless Consolidation Project
Site: ________________ Subcon: ________________
Contract No :0003602200160E,0003602200160Z,00036 Customer PO：4000041888,4000041901,4000043168
02200410E Signature: ________________ Date: ________________
①Central Warehouse Outbound ②Subcon WH&X-Docking Sign ③Site Sign ④Site Goods Acceptance

Signature: ________________ Signature: ________________ Signature: ________________ Signature: ________________ Signature: ________________

Date: ________________ Date: ________________ Date: ________________ Date: ________________ Completed Date: ________________

Central WH: ID1_MD_KMJ Carrier/ Pickup by: WH: ________________ Subcon:_____________ Subcon: ________________
Function
①Item Information ② Subcon WH ③Site Remark ④Installed GoodsModule,OptiX
List RTN
Received Moved Damaged 910A,SLJMSITE07, Count
BoxName / Item Qty Unit Item Description Received QTY Loss Qty Item RTNItem Description
910A Basal
QTY Qty Qty Qty
Configuration
02230CJP 1 PCS IF/ODU Installation Accessories(5D) 02312KWH 2*GE(RJ45)+4*10GE
Manufactured
(SFP+)+16*E1+2*IF
Electronic|Electric
Board,OptiX RTN
02312KWH 1 PCS Function Module,OptiX RTN 910A,SLJMSITE07,RTN 9 03021PFK IDU Unit(-48VDC)
Cable,450V/750V,60
900,SL91ISV3,Versa
Include
Coaxial
227 IEC
tile IF IDU
Board,1*1
03021PFK 1 PCS Manufactured Board,OptiX RTN 900,SL91ISV3,Versat 25030429 Installation
Cable ,Copper-clad
02(RV),16mm^2,Yell
Microwave
Optical
Materials
Aluminium
ow/Green,85A,CCC,
14130295 4 PCS Patch cord-LC/PC-LC/PC-Multimode-A1b-2mm-20 25070149 ODU,RTN
Transceiver,eSFP,8
Wire,50ohm,7.6mm,
CE
Microwave
XMC,13G,-3,Low
50nm,2.125Gb/s(Mu
16020675 2 PCS Air-break Switch,MCB-AC 220V or DC 48V-32A-1Po 34060286 4.8mm,1.8mm,Black
Antenna,A13S09MA
site,H,12751MHz,12
lti rate) ,-9.5~-
,5D
C-
891MHz,13017MHz,
2.5dBm,-
21101478 1 PCS Cable Ties, 300mm*7.6mm 52413862 3NX,13G,900mm,UH
13157MHz,Without
17dBm,LC,MM,0.5k
P-M,Single
doc,WR-
m
25030429 15 M Electronic|Electric Cable,450V/750V,60227 IEC 0 52432578 Polarization,Direct(
75,H01,266MHz,Sub
XMC)/Separate(All
Band
25070149 80 M Coaxial Cable ,Copper-clad Aluminium Wire,50oh RTN ODU)
A,12751MHz,12891
Mount,40dBi,1.8deg
MHz
34060286 2 PCS Optical Transceiver,eSFP,850nm,2.125Gb/s(Multi ,30dB,With English
doc,C3
52236585 1 SET Tower Accessory,Tower Accessory,RF+RRU+Combiner

52413862 1 PCS Microwave ODU,RTN XMC,13G,-3,Low site,H,127

52432578 1 PCS Microwave Antenna,A13S09MAC-3NX,13G,900mm,UHP-

52442970 1 PCS Microwave electric Accessory,OMT13-A,13G,153IEC

Total case(s)： 0 Total volume(CBM)： 1.1048 Total weight(KG)： 196.8702

Specification:
1. ①Central Warehouse Outboun need to be signed by shipper and pick up person when handover goods in central warehouse.
2. ②Subcon WH&X-docking Sign need to be signed by designated X-docking&Subcon warehouse receiver.
3. ③Site Sign need to be signed by designated consignee on site.
4. ③Site Transfer(All) need to be signed by actual site in case change the destination site.

For Site Sign For Site Verify

(Only for Offline Operation) (Only for Offline Operation)

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Bill No.:

Site： 01BMH0020-01BMH0001_HAWK_NEW/Potential_More4000_0658-
Project： 56A0H3G/Indonesia IOH Wireless Consolidation Project
Box Name Item Qty Item Description SN
Function Module,OptiX
IF/ODU Installation
02230CJP 1 PCS RTN
Accessories(5D)
910A,SLJMSITE07,RTN
910A Basal Configuration
02312KWH 1 PCS
2*GE(RJ45)+4*10GE(SFP
Manufactured
+)+16*E1+2*IFBoard,OptiX
IDU Unit(-
RTN
48VDC) Include IDU
03021PFK 1 PCS
900,SL91ISV3,Versatile
Installation Materials IF
Board,1*1
Patch cord-LC/PC-LC/PC-
14130295 4 PCS Multimode-A1b-2mm-20m-
PVC-Orange
Air-break Switch,MCB-AC
16020675 2 PCS 220V or DC 48V-32A-
1Pole-6KA-For Indonesia

21101478 1 PCS Cable Ties, 300mm*7.6mm

Electronic|Electric
Cable,450V/750V,60227
25030429 15 M IEC
02(RV),16mm^2,Yellow/Gr
Coaxial Cable ,Copper-clad
een,85A,CCC,CE
Aluminium
25070149 80 M
Wire,50ohm,7.6mm,4.8mm
"Optical
Tower Accessory,Tower
,1.8mm,Black,5D
Transceiver,eSFP,850nm,2
Accessory,RF+RRU+Comb
34060286 2 PCS .125Gb/s(Multi rate) ,-9.5~-
iner antenna mounting,pipe
2.5dBm,-
2.5"-3m, same
17dBm,LC,MM,0.5km"
elevation,Standard Design
52236585 1 SET "Microwave ODU,RTN
Antenna Mounting for
XMC,13G,-3,Low
Angle Tower Same
site,H,12751MHz,12891MH
Microwave
Elevation, with Pipe 3m, for
52413862 1 PCS z,13017MHz,13157MHz,Wi
Antenna,A13S09MAC-
Telkomsel
thout Project,for
doc,WR-
3NX,13G,900mm,UHP-
Indonesia
75,H01,266MHz,Sub
M,Single Band
52432578 1 PCS A,12751MHz,12891MHz"
Polarization,Direct(XMC)/S
Microwave
eparate(All electric
RTN ODU)
Accessory,OMT13-
Mount,40dBi,1.8deg,30dB,
52442970 1 PCS
A,13G,153IEC-R120,With
With English doc,C3
English doc