Proforma collected under head office

DUGDA CONSTRUCTION PLC

ዱግዳ ኮንስትራክሽን
Payment Request Form
Supplier Name

project RMC-2 for vitz 3-A46263 BLM Trading Plc Berta Plc
Quality Vehicle and Spare part Importer
PR 25863/64 PN=15000
PN=19062 PN=5984

No Description unit Qty unit price Total Amount unit price Total Amount unit price Total Amount

1 insulator rear leaf coil spring lower pcs 2 — — 10,000.00 20,000.00 — —

2 steering oil pump copper washer pc 1 — — — — — —

3 wheel mounting nut pcs 4 — — 10,000.00 40,000.00 — —

4 clip (for back boot pc 2 — — 2,500.00 5,000.00 — —

5 clamp pc 2 — — 2,000.00 4,000.00 — —

6 washer claw pcs 2 — — 5,000.00 10,000.00 — —
7 bolt pcs 4 — — 8,000.00 32,000.00 — —
8 bracket steering rack housing no pcs 2 — — 8,000.00 16,000.00 — —
9 grommet steering rack housing no pc 1 — — 10,000.00 10,000.00 — —
10 front axle shaft nut pc 1 — — — — — —

Total before vat — 137,000.00 -

vat(15%) — 20,550.00
Total with vat — 157,550.00 -
Proforma collected under RMC-2
DUGDA CONSTRUCTION PLC
ዱግዳ ኮንስትራክሽን
Payment Request Form
Supplier Name
project RMC-2 for vitz 3-A46263
MOENCO Revolution Auto Spare Part Tinsae Auto Spare Part
PR 25863/64 PN=52856 PN=P0010100001289 PN=02558

No Description unit Qty unit price Total Amount unit price Total Amount unit price Total Amount
1 insulator rear leaf coil spring lower pcs 2 order 234.54 469.08 1,500.00 3,000.00 — —
2 steering oil pump copper washer pc 1 order 250.86 250.86 3,200.00 Re-check again — —
3 wheel mounting nut pcs 4 order 184.22 736.88 300.00 1,200.00 380 1,520.00
4 clip (for back boot pc 2 order 132.12 264.24 500.00 1,000.00 — —
5 clamp pc 2 order 302.82 605.64 500.00 1,000.00 — —
6 washer claw pcs 2 order 83.12 166.24 350.00 700.00 — —
7 bolt pcs 4 order 178.12 712.48 — — — —
8 bracket steering rack housing no pcs 2 order 743.68 1487.36 2,000.00 4,000.00 — —
9 grommet steering rack housing no pc 1 order 1454.69 1454.69 500.00 500.00 — —
10 front axle shaft nut pc 1 order 164.52 164.52 300.00 300.00 — —
Total before vat 6,311.99 11,700.00 1,520.00
vat(15%) 946.80 1,755.00 228.00
Total with vat 7,258.79 13,455.00 1,748.00

Name:____________________ Name:____________________ Name:____________________

Date:_____________________ Date:_____________________ Date:_____________________
Sign:_____________________ Sign:_____________________ Sign:_____________________