DELIVERY NOTE

Project INDONESIA KOMINFO 4G BTS Project BAKTI (BADAN AKSESIBILITAS TELEKOMUNIKASI DAN INFORMASI)
Name

PO No. DN No. ODN202210040001

Date Of 4/10/2022
SAP PO No.
Dispatch

Buyer PT.FiberHome Technologies Indonesia Supplier PT. Duta Hita Jaya

SANSAINE EXINDO Required 3/11/2022

Carrier
Arrival Date

FROM

Arief
Phone +62 821-1278-9897
Contact
Number

Address Jl. Kampung Bulu No. 29 Desa Setia Mekar Tambun, Bekasi, Jawa Barat

TO
Liu Liang Phone +62 822-9665-7954
Contact
Number

Address KEP0011, KEP0013, KEP0015, KEP0016, KEP0022, KEP0023, KEP0040, KEP0041, KEP0043, KEP0044, KEP0045, KEP0046, KEPP0002

Materials Information
No. Material Code Description Qty Unit Qty Received Serials Number Remark

1 112023900019004 Fh-Ftk-Ttfj-Ymj(Sst42L) 1 PCS

2 112023900018004 Fh-Ftk-Tt-Sst(L)-42-120 1 PCS

3 112023900018007 Fh-Ftk-Tt-Sst(L)-52-120 1 PCS

4 112023900019007 Fh-Ftk-Ttfj-Ymj(Sst52L) 1 PCS

5 112023900018007 Fh-Ftk-Tt-Sst(L)-52-120 1 PCS

6 112023900019007 Fh-Ftk-Ttfj-Ymj(Sst52L) 1 PCS

7 112023900018013 Fh-Ftk-Tt-Sst(L)-72-120 1 PCS

8 112023900019013 Fh-Ftk-Ttfj-Ymj(Sst72L) 1 PCS

9 112023900019010 Fh-Ftk-Ttfj-Ymj(Sst62L) 1 PCS

10 112023900018010 Fh-Ftk-Tt-Sst(L)-62-120 1 PCS

11 112023900018004 Fh-Ftk-Tt-Sst(L)-42-120 1 PCS

12 112023900019004 Fh-Ftk-Ttfj-Ymj(Sst42L) 1 PCS

13 112023900018013 Fh-Ftk-Tt-Sst(L)-72-120 1 PCS

14 112023900019013 Fh-Ftk-Ttfj-Ymj(Sst72L) 1 PCS

15 112023900019004 Fh-Ftk-Ttfj-Ymj(Sst42L) 1 PCS

16 112023900018004 Fh-Ftk-Tt-Sst(L)-42-120 1 PCS

17 112023900018004 Fh-Ftk-Tt-Sst(L)-42-120 1 PCS

18 112023900019004 Fh-Ftk-Ttfj-Ymj(Sst42L) 1 PCS

19 112023900018007 Fh-Ftk-Tt-Sst(L)-52-120 1 PCS

20 112023900019007 Fh-Ftk-Ttfj-Ymj(Sst52L) 1 PCS

21 112023900018015 Fh-Ftk-Tt-Sst(H)-72-120 1 PCS

22 112023900019015 Fh-Ftk-Ttfj-Ymj(Sst72H) 1 PCS

23 112023900019015 Fh-Ftk-Ttfj-Ymj(Sst72H) 1 PCS

24 112023900018015 Fh-Ftk-Tt-Sst(H)-72-120 1 PCS

25 112023900019015 Fh-Ftk-Ttfj-Ymj(Sst72H) 1 PCS

26 112023900018015 Fh-Ftk-Tt-Sst(H)-72-120 1 PCS

Representative of Supplier: Representative of Receiver:

（Signature & Date） （Signature & Date）

Representative of Buyer: Representative of QC:

（Signature & Date） （Signature & Date）

Representative of Carrier:

（Signature & Date）

Note

- Enclosed is the Packlist for Materials , please check materials based on this document.