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

Purchase Debit Note Purchase Debit Note Address

Delivery Address

WORLDLINE COMMUNICATION SDN BHD 15 JALAN 18 KAW 18 OFF JALAN MERU 41050 KLANG

15 JALAN 18 KAW 18 OFF JALAN MERU 41050 KLANG

Attn Tel Fax

Attn Tel Fax

MS LEE 03-33412548 03-33412549

MS LEE 03-33412548 03-33412549

Supplier Account

Purchase Executive

Currency

Name

Page No

Purchase Debit Note No.

40W-001

FSY

RM

ADMIN

1 of 1

SD-00001

No

Item Code

1

N-3210

Description

Qty

Price/Unit

NOKIA 3210

1UNIT

400.00

Date

12/12/2002 Discount

Total Price

400.00

RINGGIT MALAYSIA : FOUR HUNDRED ONLY

Payment Terms

Total Payable

Net 30 day

400.00 Authorised Signature SAMPLE COMPANY SDN BHD (123456-M)

Purchase Debit Note#1  

15 JALAN 18 KAW 18 OFF JALAN MERU 41050 KLANG 400.00 No Description QtyItemCode DiscountPrice/Unit Total Price Purchase Debit Note Address D...

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