Shipping Freight Type: Customer pays freight company direct CALLE BLONDEL CON DANIEL A. CARRION Phone Number: 0950572842 TACNA
RUC 20475262647
Contact Check Box for
First Name: Warehouse Last Name: Consolidations Phone Number: Load Id___________________________ Cell. Phone Number: Fax Number: Email Address: Shipment #________________________
Holds: Contract Addendum Needed
EA Check
Description Quantity Required Work Order Total
Line Item # L-S-O Mark Number AQP PER DSM Number/Date Weight
001 W0300 S Tensor c/ Manilla x 300 mm 7N 443 N 121.50
002 01M33 L Panel Manual 600 x 2400 100 R 4,570.00
003 01M01 L Panel Manual 600 x 1200 422 R 9,874.80
004 03M01 L Panel Manual 550 x 1200 1R 21.37
005 07M01 L Panel Manual 450 x 1200 7R 127.26
006 09M01 L Panel Manual 400 x 1200 16 R 263.52
007 13M01 L Panel Manual 300 x 1200 4R 49.88
008 15M01 L Panel Manual 250 x 1200 5R 56.15
009 17M01 L Panel Manual 200 x 1200 42 R 408.66
010 19M01 L Panel Manual 150 x 1200 1R 6.84
Equipment is listed in ascending sequence by line number.
crP365SingleWithoutRev v. 01.05.01.01 Page 1 of 5
Agreement: 1700035 Segment: 01 27Dec2017 10:53 am A Description Quantity Required Work Order Total Line Item # L-S-O Mark Number AQP PER DSM Number/Date Weight
011 01M03 L Panel Manual 600 x 600 4R 49.52
012 17M03 L Panel Manual 200 x 600 4R 20.12
013 01M21 L Angulo Interior 100x100x1200 6R 51.54
014 01M23 L HEF Angulo Exterior x 1200 108 R 329.40
015 01988 L HEF Brazo de Andamio Imp/Met 40 R 326.40
016 23988 L HEF Poste de Andamio Imp/Met 40 R 110.80
017 05999 L Grapa Panel Manual 3,525 R 740.25
018 04999 L Pasador para Tensor 1,250 R 75.00
Equipment is listed in ascending sequence by line number.
crP365SingleWithoutRev v. 01.05.01.01 Page 2 of 5
Agreement: 1700035 Segment: 01 27Dec2017 10:53 am A Description Quantity Required Work Order Total Line Item # L-S-O Mark Number AQP PER DSM Number/Date Weight
019 50999 L Mordaza p/Alineador Tubo 975 R 331.50
020 10M24 L Alineador Tubo x 1200 4R 18.64
021 18M24 L Alineador Tubo x 1800 5R 33.70
022 12M24 L Alineador Tubo x 3600 3R 42.00
023 15M24 L Alineador Tubo x 4800 31 R 562.34
024 13M24 L Alineador Tubo x 6000 40 R 933.60
025 54999 L Herramienta Tubo 9R 6.57
026 55999 L Herramienta Pico 9R 3.69
027 01993 L Martillo Saca Tensor 3R 23.67
028 01992 L Descimbrador 3R 13.62
029 82182 L Perno R-Rap. 19 x 100 mm 250 R 72.50
Equipment is listed in ascending sequence by line number.
crP365SingleWithoutRev v. 01.05.01.01 Page 3 of 5
Agreement: 1700035 Segment: 01 27Dec2017 10:53 am A Description Quantity Required Work Order Total Line Item # L-S-O Mark Number AQP PER DSM Number/Date Weight
030 81180 L Tuerca R-Rap. 19 mm 250 R 22.50
031 80106 L Puntal Telesc. 900-1500 63 R 40 R 1,074.29
032 82109 L Puntal Telesc. 3000-4500 20 R 435.40
033 80080 L Fijador de Puntal PBS-1 123 R 334.56
034 84176 S Funda Plastica (230 m) 1N 3.13
035 U1050 S Tensor x 1050 mm 4N 3.04
CON MUESCA 036 U1300 S Tensor x 1300 mm 16 N 15.04 CON MUESCA
037 13M01 L Panel Manual 300 x 1200 4R 49.88
038 01M21 L Angulo Interior 100x100x1200 3R 25.77
Equipment is listed in ascending sequence by line number.
crP365SingleWithoutRev v. 01.05.01.01 Page 4 of 5
Agreement: 1700035 Segment: 01 27Dec2017 10:53 am A Description Quantity Required Work Order Total Line Item # L-S-O Mark Number AQP PER DSM Number/Date Weight