RECEIPT

HTM MARINE SERVICE

COMPANY LIMITED

Head Office: 154A Lung Bac Street, Email: vuhoavn2001@yahoo.com

Đang Hai Ward, Hai An Dist, Hai Phong City. vuhoashipchandler@gmail.com
Tel: (+84) 915098906 Whatsapp, Kakaotalk: +84915098906
Fax: Date: 22-Nov-2023
Website: www.shipchandlerhaiphong.com
Messrs: Master/ Owner of: M.V PUSAKA ABADI
Attns: Master/ Chief Cook
Vessel: M.V PUSAKA ABADI
Place of Berth: VAT CACH Port, Vietnam
Ref: Supply Provisions
No Description Unit Items Price Total price
1 TELUR AYAM TRAY 5 5.4 27.0
2 TOMAT KGS 5 1.2 6.0
3 BAWANG MERAH KGS 5 2.0 10.0
4 TERONG KGS 2 1.2 2.4
5 KANTANG KGS 5 1.2 6.0
6 BAYAM KGS 2 1.5 3.0
7 BUNAS KGS 2 1.5 3.0
8 SAWI PUTIH KGS 2 1.2 2.4
9 JERUK NIPIS KGS 5 2.5 12.5
10 WORTEL KGS 2 1.2 2.4
11 SALAPA KGS 1 2.0 2.0
12 LABU SIAM KGS 3 1.8 5.4
13 IKAN KEMBUNG BOX 2 35.0 70.0
14 AYAM POTONG KGS 10 3.5 35.0
15 IKAN KAKAP KGS 10 7.3 73.0
16 SEMANGKA KGS 10 1.2 12.0
17 PISANG BOX 1 20.0 20.0
18 APPIE BOX 1 35.0 35.0
19 SUNKIT BOX 1 25.0 25.0
20 MANGO KGS 5 2.5 12.5
22 TAHE KGS 1 3.0 3.0
23 MARLBORO RED RMS 1 3.0 3.0
24 MINERAL WATER JAR 10 4.5 45.0

TOTAL 415.6
SAY IN WORD: DOLLARS!
THE RECEIVER THE SUPPLIER
(SIGNATURE AND STAMP) (SIGNATURE AND STAMP)