Forffi ID : R.CVRO3 ReceEvEmg R.

ePont Fage : 213

Frrlnted By : id dsantoso Dwi Santoso Frimted Eate & Tirme : LZlAU2A2214;16:32

[tecerivfing No. ; 10091-1 122000171 Furehase Order No' : 1009r.-922000623

R.ecelving Date : 74a!2022 Furchase Order Date : 1o/ou2022

Expecfed Delivery Date : Dlauza22

[ndent Tram$actiom No.

TO55 TGL DAURIP FAHULLAH Trans Retail Indonesia

SLffAPRANAN RT 05 RW 01 10091 Tegal (TGLT)
SUTAPRAIIAI.,I T'URI Jl. Kol , Soegiono No.92, Kernandungan
TEGAL Kota Tega!, Jawa Tengah 52125
-le[.08154214117tr

FaY."

Email : fahullahdaurip@yahoo.com
Capacity 0rder QS, Rcr/.Qty, Total Qty. Llmit Fnice Anroumt
lterx,i Descriptiom
tsarcode St@ck [rnit Free W" Free Qty"

165,000.00
22014001001 KOL MER,AH |

2007670000000 I

212,500.00
22014004001 BROKOLI
2007650000000
187,500.00
2?016003001 UNSKIN PETAI
2007990000000
14,000.00
22031015001 LEI\GKUAS
200E490000000
BAWAT,IG MERAH
350,000.00
2203 1 16s001
2013330000000 CURAF{

BAWAI{G tsOMBAY 27,000.0000 526,500.00

2203 1173001
2014530000000 CUR.A 0.00

l.KGx1 2,00 2.00 65,000.0000 130,000.00

22032004001 JAHE
20083800c0000 KG 0.00

22032005001 KENCUR 1KGx1 1.00 1.00 80,000.0000 80,000.00

2008430000000 KG 0.00
KU[\YIT LKGxl 1.00 1,00 1.00 14,000.0000 14,000.00
22032006001
2008460000000 KG 0,00 0.00
GOLDEN EANANA 1KGxl 10.00 10.00 10,00 19,ooo.00oo 190,000.00
KG 0.00 0.00
DEWI STARFRUIT tr KGxl 10.00 5.00 5.00 16,000.0000 80,000.00
KG 0.00 0.00
1KG 5.00 5.00 5.00 15,000.0000 75,000"00
KG 0.00 0.00
LKGxI 5.00 5.00 s.00 18,000.0000 90,000.00
KG 0.00 0.00
1KGxl 20.00 20.00 20.00 7,500,0000 150,000.00
KG 0.00 0.00
1KGx1 20.00 18.50 18.50 9,500.0000 17s,750.00
KG 0.00 0.00

Total Amrount 3,312,250.00

Vendon AEemt : ReceivEng Staff: Id-dsantoso Dwi Santoso R.eeeiving 9taff //

Signature Sigm6ture Signature