Goods Received Note#2

Page 1

SAMPLE COMPANY (123456-M) 87, 1 st Floor, NBC Business Centre, Jalan Meru, 41050 Klang, Selangor Darul Ehsan. Tel : 03-33421788Fax : 03-333429068

Purchase Invoice Address

LION HANDPHONE ACCESSORIES BHD WISMA LION, 8TH FLOOR, NO. 79, JALAN DUTA 41000 KLANG Attn Tel Fax

MR LEON/MR LEON 03-3341 9765 03-3341 9766

Delivery Address

Goods Received No. : Date : Supplier Account : Currency : Payment Terms : Purchase Executive : From Doc No. : From Doc Date : Page No :

GR-00001 25/10/2002 400-L01 RM Net 30 day LHM PO-00104 15/11/2002 1 of 1

No. 1, Jalan TTDI, Taman TTDI, Sekysen 1, 40000 Shah Alam, Selangor Darul Ehsan. Attn Ms. Wendy Tel 03-5410 0098 Fax 03-5410 0089 No 1 2 3 4

Item Code

Description

ANT COVER N-3210 N-3310

ANTENNA HANDPHONE COVER NOKIA 3210 NOKIA 3310

I/We hereby confirmed and received to the above mentioned goods in a good order & condition.

For SAMPLE COMPANY SDN BHD (123456-M)

Qty 100UNIT 100UNIT 50UNIT 50UNIT


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