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VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD,

VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD, MAKKASAN, RATTHAWI

10400

Tel : +662 645 1699

Fax :

Date : 29-JUL-12

Page 1 of 3

Delivery Order 31049648

Ship To :

ORIENTAL CITY GROUP THAILAND CO.,LTD 102 ถนนเพลินจิต ลุมพินี ปทุมวัน กทม. 10330

   

Ship From :

VeriFone (Thailand) Co., Ltd. VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD, MAKKASAN, RATTHAWI

กรุงเทพ

 

10400

10330

Thailand

   

ATTN :

ATTN :

TEL :

FAX :

TEL :

FAX :

Forwarder : 000001_DELIVERY_A_LTL

 

Gross Weight KG/LB :

 

Freight Terms:

Total No Of Boxes/Pallets:

/

 

Tracking No:

NOTES:

 

Delivery Details

Sales Order Number

Sales Order

Customer PO

 

Part Number/Description

UOM

Item Qty

Line Number

Number

50169571

1

Testing1-NRU-

 

M010332-313R-APJ,

 

10

1

PKG,T4220 APJ F8M D16M S512 T123 EMV4 ETH-DBU-HMDM RS232-RS232 WITH PWR SUPPLY

SO Number : 50169571

SO Line #: 1

Total Line Qty Req'd : 10

Total Line Qty Shipped : 10

Packing Instruction :

50169571

1

Testing1-NRU-

 

M010332-313R-APJ,

 

5

1

PKG,T4220 APJ F8M D16M S512 T123 EMV4 ETH-DBU-HMDM RS232-RS232 WITH PWR SUPPLY

SO Number : 50169571

SO Line #: 1

Total Line Qty Req'd : 5

Total Line Qty Shipped : 5

 

Packing Instruction :

VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD,

VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD, MAKKASAN, RATTHAWI

10400

Tel : +662 645 1699

Fax :

Date : 29-JUL-12

Page 2 of 3

Delivery Order 31049648

Please Check and confirm you receive the above goods in good condition, sign back with your company stamp and send back to VeriFone. Any Questions, please contact : +662 645 1699

Receive Date :

Customer Signature :

Stamp:

Ship Date : 18-JUL-12

Please sign, stamp and fax to VeriFone

Fax: Thanks!!!

Remarks :

VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD,

VeriFone (Thailand) Co., Ltd. THANAPOOM TOWER, UNIT C2, D, 10TH FLOOR, 1550, NEW PETCHBURI ROAD, MAKKASAN, RATTHAWI

10400

Tel : +662 645 1699

Fax :

Date : 29-JUL-12

Page 3 of 3

Delivery Order 31049648

Ship

to

Customer:

ORIENTAL

CITY

GROUP

THAILAND

CO.,LTD

Delivery No 31049648

 

Serial Information:

Part Number

From Serial Number

To Serial Number

 

Number of Units

M010332-313R-APJ

111-567-345

111-567-359

   

15