BERITA ACARA

NOKIA
Pada Hari: Kamis
SERAITTERIMA BARANG
Bahwa yang Tanggal Bulan
Agustus Tahun 2022
bertandatangan dibawalh ini telah melakukun seral1 terima
barang berdasarkan
Dokumen : XLMN-SDR-BN-20220805-ESO109

Nama Site (Site ID) : NUS-NT-RTG-0328

Nama Project : XL

Nomor Polisi

Jenis Kendaraan (M0T)

: AyANA
Vol / Berat Coli

Pelaksanaan Pengiriman
Langsung kesite
Relokasi / Dialihkan alasan1nya Menginap di,site sejak tanggal :
Dikembalikan kegudang
Disimpan sementara
tya
Kondisi kemasan / karton / kardus
Baik Rusak
Jumlah dan Jenis barang sesuai dengan dokumen
Baik Rusak

Keterangan

(") Lingkari salah satu

Demikian Berita Acara ini dibual dengan sebenarnya dan untuk dipergunakan sebagaimana
mestinya

Yang Menyerahkan Mover

Penerima

aniy so Sunnjunlak Nama Nanma

I Agusgus 2022. Tg Tgl

0882-2017-3296 No Hp No Hp
 5538

NOKIA
OUTBOUND PASS

SPV LEADER
TRANSPORTER : PT,OSV

POLICE/COUNT.NO
TOTAL COLUE

REF.DOC

DATE LOADING

DATE IN DATE OUT

START FIN0SH

HOUR HOUR

CHECKER TRASPORTER
SECURITY IN KRANI

DIMENSION FORM

BERAT X JUMLAH
BERAT JUMLAH COLLIE
PANJANG LEBAR TINGGI COLIE
COLLIE

Box CA 40
AsME

13
 DSV
Page 3 of 4
Aendal KM 8, 11-Aug-22-10:34
A, Ngaliyan,
Central Java

: XLMN-SDR-BN-20220805-ES0109 Shipment Order No : 0000005538

Number Total Package 8.00
: DOP-TO-SITE
der Type : XL-AXIATA Total Quantity 573.00
Project Name Total Volume : 4.6934
: SMP-WO-0578080
Other Ref 0.0000
: 8/11/2022 3:43:00PM Total Weight
Doc Date

: NUS-NT-RTG-0328
Site ID
Site Name : WAE RII
: PT. FIS LOGISTICS
Transporter
(ex) FBBC Flexi Capadty Extension 1.00
472797A_EX
Sub-Module
FSAH EAC cable HDMI-D37 15m 1.00
10 472839A
EMHH FLEXI 3Ucasing and high 1.00
11 473187A
COVERS F_B
FUFDD MM OD fiber LC OD-LC OD 3.00
12 473905A
dual 80m
Cable Lug 35mm M8 Single Hole 8.00
13 CS73226.09
RS Insulation tape 15x10 m black 1.00
14 CS/3339,10
10pcs
RS Insulation tape 15x10 m ye/gr 1,00
15 CS73339.11
10pcs
RS Insulation tape 15x10 m blue 1,00
16 CS73339.12
10pcs
LF Jumper 4310MA - 4310M 7M 2.00
17 CS75105.23
LF Jumper 43M-DMA 9M 2.00
CS75106.09
SF Jumper 43MA - 43M 5M 4.00
19 CS75107.35
RF Jumper 43M-DMA 5M LF 2.001
20 CS75107,64
SF Jumper 43M-DMA 7M 2.00!
21 CS75209.07
KRONE, HINGED LABEL FOR LSA 1.00
22 CS80000,42
2/10
Cable Ties 250mm/white 100.00
23 CS80001.60 BAT
Groundingcable NYAF 6mm2 Y/G 4.00
24 CS80004.45
POWER CABLE NYAF 35MM BLACK - 8.00
25 CS80004.50
M
POWER CABLE NYAF 35MM BLUE - 8.00
26 CS80004.51
M
CABLE LUG 16MM2 SET M8 PIN 6.00
27 CS80004,88
TYPE
CS80005.05
CABLE LUG JACKET 16MM2 SET 2.00
28
GREEN
CABLE TIE 4.8 X 300 BLACK (100 1.00
29 CS80005,13
PCS)
FLEXIBLE CONDUIT (BLACK) 1IN UV 10.00
30 CS80005.54
METAL
Silicon Sealant (Black) 1.00
31 CS80005.84

Dryer Recelver Supervisor

Admin Checker

Sign Sign Sign

sign Sign Name
Name Name Name
Nane
 Kerda KN
a Ngaliyar.
Cerca ave
DSV
Page 2 cf4
11-gz21034
Numbe : N-SOR-&N-220805-ES0109
Order Type :DOFOSTE Shipment Order No : : 0000005538
Project Name :ATA Toai Faiage
Othes Ref Totrai Quentty &00
Doc Date Tota vome S73.00
4.6934
Totzi Weght
Site D : NS-N-RTGC32s
Site Name :WAE RI
Trarsporter :T FS LOGISTIS
25 SO156652
AAOB Fte top bay L
1.00
25 SO156655 AAOB Fe batt bay LM
L00
LfTnjGtout
Total Unit(s) 37.00
Package D :1ARDA-NDSO000015580
Dimension :59.00000 x 54.00000 x 211.00000 Volume : 0.0669
No. SKU
DESCR Weight 0.0000
QTY
1 474840A ARDA AirScale RAM 6T5R ES 480W
1.00
Total Unit(s) 1.00
Padage ID :2 BATIERY-NDSO000015583
Dimension :57.00000 x 50.00000 x 58.00000
Volume : 0.1653
No. SKU
Weight 0.0000
DESCR QTY
1 CS7000153 BAT_48V_100Ah_SDA10-48100C-19 2.00
IN3UFP
2 SCI0000150 Gyroscope for SDA-10 batteries 2.00

Total Unit(s) 4.00

Package ID :3 ANTENA XPIT-NDSO000015581 Volume : 11809
Dimension :284.00000 x 99.00000x 42.00000 Weight 00000
No. SKU DESCR QTY
1 CS7252354.01 XPIT 598-950/2xi695-2590 65 2m 3.00
43/RO
TotalUnit(s) 3.00

Package ID :4B0X645-NDS0000015587 Volume 0.4800

Weight 0.0000
Dimension :120.00000 x 80.00000 x 50.00000
SKU DESCR QTY
No.
1 470149A
FMFA FLEXI MOUNTING KIT 2.00w
FLOORWALL;POLE
FMCA FAEXI 3U MOUNTING COVERS 1.00
2 470239A
FRONT/BACK
FTCR OD Cable RI45 CAT5E 15m 1.00
3 471408A
FPKA Aexi PoBe Kit 2.00
471649A
FSES Aexd System External OvP 1.00
5 472285A
FPFD Power Distribution 1.00 t
6 472301A
Sub-Moduke
1.00
FTIF Transport PDH /Ethernet
472311A 6.00
FOSH OPTCH 850NM 6G 300M MM
472579A
Supervisor
Priver
Receive
Checker
Admiy Sign
Sign Name TSY
Sign
Sign Name
Sign Name
Name
Name
 AESIA
Aarang Kendal KM 8,
DSV
Page 1 of 4
ambakaji, Ngaliyan, l1-Aug-22-10:34
fang ity, Central Java
donesla
: XLMN-SDR-BN-20220805-ES0109
Order Number Shipment Order No : 0000005538
:DOP-TO-SITE Total Package
Order Type 8.00
Project Name : XL-AXIATA Total Quantity 573.00
:SMP-WO-0578080 Total Volume
Other Ref 4.6934
Doc Date :8/11/2022 3:43:00PM Total Weight 0.0000

Site ID : NUS-NT-RTG-0328
Site Name : WAE RII
Transporter : PT. FISLOGISTICS

Package ID :1AAOB-NDS0000015584 Volume : 1.5990

Dimension : 100.00000 x 78,00000 x 205.00000 Weight 0.0000
No. SKU DESCR QTY
1 CS7156100.00 AAOB OD dual bay cabinet L(ST) 1.00
2 SC7156000 AAOB AMIA 1.00

3 SC7156203 AAOB 24KW/27kW power Core 1:00|

option
4 SC7156210 AAOB MC2600 controller 1.00

5 SC7156216 AAOB Modbus comm cable 2.5m 1.00

Shoto
5 SC7156302 AARB 3kW/50A SHE 97% rectifier 2.00
module
7 SC7156400 AAOB 3ph AC in 400V TNS with SPD 1.00

8 SC7156407 AAOB 1p 125A batt breaker 19mm 3.00

AAOB Battery cables M6 for 3.00

9 SC7156409
63/125A CB
10 SC7156431 AAOB BLVD 18mm load breaker 10A 1.00
AAOB BLVD 18mm load breaker 16A 1.00
11 SC7156432
AAOB BLVD 18mm load breaker 25A 1.00
12 SC7156433
AAOB BLVD 18mm load breaker 50A 2.00
13 SC7156436
AAOB LLVD1 18mm load breaker 2.00
14 SC7156443
32A
AAOB LLVD1 18mm load breaker 3.00
15 SC7156445
50A
AAOB 19 supports for batt bay L,M
16 SC7156471
AAOB L-supports kit for 4U LI 100kg 2.00
17 SC7156475
AAOB L-supports kit for 3U Equipm. 2.00
18 SC7156478
30kg
1.00
SC7156490
AAOB Default cable entry L
19
AAOB Smoke detector option 1.00
20 SC7156500
1.00
21 SC7156509
AAOB Plinth for S,M,L cabinet (ST)
AAOB DC SPD 1.00
22 SC7156514
AAOB ACservice socket option EU 1.00
23 SC7156520
AAOB door FF+FF for L(ST) 1.00
24 SC/156602

Supervisor
Driver Receiver
Admin Checker

Sign Sign
Sign
sotulgtcSign Sign
Name Name
Name
Name
Name
 ste
ONESIA
semarang Kendal KM 8,
Tambakaji, Ngaliyan,
emarang City, Central Java
Indonesia
DSV Page 4 cf4
Order Number
Order Type
: XLMN-SDR-BN-20220805-ES0109
: DOP-TO-SITE
11-Aug--10:34
Project Name
Other Ref
:XL-AXIATA
: SMP-WO-0578080
Shipment Order Ng
Total Package : 0000005538
Doc Date :8/11/2022 3:43:00PM
Total Quantity 8.00
Total Volume 573.00
Site ID
Total Weight 4.6934
Site Name
:NUS-NT-RTG-0328 0.0000
: WAE RII
Transporter : PT. FIS
LOGISTICS
32
CS80006.39
Cable LUg Jacket Blue
33 CS80006.40 35mm
34
Cable Lug Jacket Black 35mm 8.00
CS80072.49
Power DC cable NYY 8.00
35 P401524 2*16mm2 7.00
36 P401527
Cable Ferulle Black (16mm)
4.00
37
Cable Lug 6mm M5 Single hale
P401530 5.00
38
Cable Lug 6mm M6 Single Hole
P401532 1.00
39
Cable Lug Jacket 6rnm Green
P401536 6.00
40
Cable Lug 35mm M6 Single Hole
P406513 8.00
Label BTS &DDF
41 P457198 1.00
42 P457200 Weatherproofing per 2port 6.00
Basic System Module
43 P464467 BasicRF Module
44 P520596 1.00
POWER CABLE NYFGBY 4x16MM
BLUE 15.00
45 P607243 Grounding Cable NYAF 16mm2 30.00
Yellow Green
Total Unit(s) 287.00
Package ID : BOX CLAMP-NDSO000015586
Volume :
Dimension :46.00000 x32.00000 x 22.00000 0.0324
No. SKU DESCR
Weight 0.0000
QTY
1
CS80075.19 Clamp Feedless Double for Cable 110.00
DC 16mm
Total Unit(s) 110.00
Package ID : CABLE-A-NDs0000015582
Volume :
Dimension : 100.00000 x 100.00000 x 110.00000 1,1000
No. SKU
Weight 0.0000
DESCR QTY
1 CS80033.26 POWER CABLE N2XCY 2x16+2,5 130.00
mm2
Total Unit(s) 130.00
Package ID : LOOSEPACK-NDS0000015585 Volume : 0.0689
Dimension :58.00000 x 54.00000 x 22.00000 Weight 0.0000
No. SKU DESCR QTY
472181A (ex) FSMF System Module 1.00
Total Unit(s) 1.00

Admin Checker Driyer Recelyer Supervisor

Name.
Sign
Usvs t o
Sign Sign Sign t Sign
Name Name Name
 DSV
Page 1 of 1
endal KM8, 11-Aug-22-10:36
ANgaliyan,
4, Central Java
: 0000005445
: XLMN-SDR-BN-20220808-ES0115
Shipment Order No
er Number 2.00
Total Package
DOP-TO-SITE 145.00
Srder Type Total Quantity
Project Name XL-AXIATA Total Volume 1.4600
Other Ref : SMP-WO-0554593 0.0000
Total Weight
Doc Date : 8/10/2022 5:39:28PM

Site ID : NUS-NT-RTG-03 14
Site Name : 4710342E LTE Ruteng Rembong2
Transporter : PT. FIS LOGISTICS
Volume : 0.3600
:3 BOX645-NDS0000015401 0.0000
Package ID
Dimension :60.00000 x 40,00000 x 150.00000 Weight
DESCR QTY
No. SKU
FMFA FLEXI MOUNTING KIT 1.00
1 470149A
FLOOR/WALL/POLE
FPKA Flexi Pole Kt 2.00
2 471649A
FSES lexiSystem External OVP 1.00
3 472285A
FOSH OPTCH 85ONM 6G 300M MM 2.00
4 472579A

5 473187A EMHH FLEXI 3U casing and high

COVERS F_B
FUFDD MM OD fiber LC OD-LC OD 1.00 V
6 473905A
dual 80m
ARDA AirScale RFM 6T6R B8 480W 1.00
7 474840A
SF Jumper 43MA - DM 5M 2.00
8 CS75107.30
CS75107.66 RF Jumper 43MA-DM 7M LF 4.00
9

10 CS80075.19 Clamp Feedless Double for Cable 50.00

DC 16mm
Label BTS& DDF 1.00
11 P406513

12 P457198 Weatherproofing per 2 port 3.00

P464467 Basic RF Module 1.00
13
14 P607243 Grounding Cable NYAF 16mm2 10.00
Yellow Green
Total Unit(s) 80.00

Package ID : CABLE-A-NDS0000015400 Volume : 1.1000

Dimension : 100.00000 x 100.00000 x 110.00000 Weight 0.0000
No. SKU DESCR QTY
1 CS80033.26 POWER CABLE N2XCY 2x16+2,5 65.00
mm2

Total Unit(s) 65.00

Admin Checkcr Driver Receiyer

Supervisor
Sigh 22 Sign Sign Sign
Name Srgt
Name Name Name
 DSV
Kendal KM 8, Page 1 cf 1
A1, Ngaliyan, 11-Aug-22-10:41
y, Central Java

Number XLMN-SDR-BN-20220808-ES0122 Shipment Order No 0000005452

DOP-TO-SITE Total Padage 2.00
rder Type
Project Name : XL-AXIATA Total Quantíty 146.00
Other Ref : SMP-WO-0554969 Total Valurme 1.4600
Doc Date : 8/10/2022 5:31:24PM Total Weight 0.0000

Site ID : NUS-NT-RTG-0323
Site Name : 4710302E LTE Carep Ruteng2
Transporter : PT. FIS LOGISTICS
Package ID :3 BOX645-NDS0000015391 Volume : 0.3600
Dimension :60.00000 x 40.00000 x150.00000 0.0000
Weight
No. SKU DESCR QTY
1 470149A FMFA FLEXI MOUNTING KIT 1.00
FLOOR/VWALL/POLE
471649A FPKA Flexi Pole Kit 2.00

472285/A FSES Flexí System External OVP 1.00

4725/9A FOSH OPTCH 850NM 6G 300M MM 2.00

5 473187A EMHH FLEXI 3U casing and high 1.00

COVERS F_B
473905A FUFDD MM OD fiber LC OD-LC OD 1.00
dual 80m

474840A ARDA AirScale RFM 6T6R B8 480W 1.00

8 CS75107.30 SF Jumper 43MA - DM 5M 4.00

CS75107.66 RF Jumper 43MA-DM 7M LF 2.00

10 CS80005.13 CABLE TIE 4.8 X 300 BLACK (100 1.00

PCS)
11 CS80075.19 lamp Feedless Double for Cable 50.00
DC 16mm

12 P406513 Label BTS & DDF 1.00

13 P457198 Weatherproofing per 2 port 3.00

P464467 Basic RF Module 1.00

14

15 P607243 Grounding Cable NYAF 16mm2 10.00

Yellow Green
Total Unit(s) 81.00

Package ID : CABLE-A-NDS0000015390 Volume : 1.1000

Dimension : 100.00000 x 100.00000x110.00000 Weight 0.0000

No. SKU DESCR QTY

1 cS80033.26 POWER CABLE N2XCY 2x16+2,5 65.00
mm2

Total Unit(s) 65.00

Admin Checker Priyer Recelver Supervisor

Sig Sign Sign Sign Sign

Name Name Name
Nane Name 52
 elivery Note
NOKIA INDONESIA
DSV
8, Page 1 of 1
JI. Raya Semarang Kendal KM
50185, Tambakajl, Ngaliyan, 11-Aug-22-10:36
SemarangCity, Central Java
Indonesia

Order Number : XLMN-SDR-BN-20220807-ES0114 Shipment Order No : 0000005444

Order Type : DOP-TO-SITE Total Package 2.00
Project Name : XL-AXIATA Total Quantity 145.00
Other Ref : SMP-WO-0554775 Total Volume 1.4600
Doc Date : 8/10/2022 5:38:22PM Total Weight 0.0000

Site ID : NUS-NT-RTG-0313
Site Name : 4710353E LTE omodo ruteng2
Transporter : PT. FISLOGISTICS

Package ID :3BOX645-NDS0000015399 Volume : 0.3600

Dimension :60.00000 x40.00000 x 150.00000 Weight 0.0000
No. SKU DESCR QTY
470149A FMFA FLEXI MOUNTING KIT 1.00
FLOOR/WALL/POLE
2 471649A FPKA HexiPole Kit
3 472285A FSES Flexi System External OVP
2R
1.00
4 472579A FOSH OPTCH 850NM 6G 300M MM 2.00
5 473187A EMHH FLEXI 3Ucasing and high 1.00
COVERS F_B
6 473905A FUFDD MM OD fiber LC OD-LC OD 1.00
dual 80m
7 474840A ARDA AirScale RFM 6T6R B8 480W 1.00
CS75107.30 SF Jumper 43MA - DM 5M 2.00
CS75107.66 RF Jumper 43MA-DM 7M LF 4.00
10 CS80075.19 lamp Feedless Double for Cable 50.00
DC 16mm

11 P406513 LabelBTS & DDF 1.00

12 P457198 Weatherproofing per 2 port 3.00

13 P464467 Basic RF Module 1.00

14 P607243 Grounding Cable NYAF 16mm2 10.00
Yellow Green
Total Unit(s) 80.00
Package ID :CABLE-A-NDS0000015398 Volume : 1.1000
Dimension :100.00000 x 100.00000 x 110.00000 Weight 0.0000 f
No. SKU DESCR QTY
1 CS80033.26 POWER CABLE N2XCY 2x16+2,5 65.00
mm2
Total Unit(s) 65.00

Admin Checker Driyer Recclver

Superyisor
Name t l o ndooss
Sign Name
Sign %/Lotul ldoSian Sign Sign Indorale
Name Name Namesy olioN
FIS>
11. YOS SUDARSO KM 5 BLOK D NO.7
KUPANG, NTT
ALAK, KEC. ALAK, KOTA
NO
DSV
008/KPG-OUT/20220824
Date 26 AGUSTUS 2072
SDR/LTR/PMR :
Site ID XLMN-SDR-BN-20220721-ESO030 LTR
: NUS-NT-RTG-0327
Site Name :4710802E LTE FRANS AIRPORT
Requestor :SUMADI
Pic Site
Subcont
:HASAN/081246876657
: PATIGENI
MOT : 26 AGUSTUS 2022
Project :XL

PICK & CHECKING LIST

PART NUMBER
DESCRIPTION QTY UOM CEK REMARK
CS75107.30 SF Jumper 43MA - DM 5M PCS
|471649A FPKA Flexi Pole Kit PCS
|472579A FOSH Optical SFPH 850nm 6G 300nm MM 2 PCS
473905A FUFDD MM OD fiber LCOD-LC OD dual 80m 5 PCS
474283A |APPC AirScale2 55A DC plug 10-16 mm2 2 PCS
474416A AMFF Blind panel Assy 1 PCS
Csso005.54 FLEXIBLE CONDUIT (BLACK)1IN UV METAL 20 M
473187A EMHH FLEXI 3Ucasing and high COVERS F_ 2 PCS
473096A ABIA AirScale Capadty 1 PCS
2 PCS
S75107.86 RF Jumper 43M-DM 7M SF
P45719s Weatherproofing per 2 port 11 PCS
P464467 Basic RF Module 2 SET
PCS
475291A AMGT Cable gland kit for AMOD
474930A AMOD AirScale Outdoor Subrack 1 PCS
474914A AHEGC AirScale Dual RRH 4T4R B1/3 400W PCS
CS8O075.19 damp Feedless Double for Cable DC 16mm 90 PCS
POWER CABLE N2XCY 2X25+2,5 mm2 7 M
CS8O033.27
Grounding Cable NYAF 16mm2 Yellow Green 20 M
P607243
FMFA FLEXI MOUNTING KIT FLOOR/VWALL/POLE 1 PCS
470149A
475047A AMFV 3U Plinth kit for AMOD 1 PCS
AHEGC AlrScale Dual RRH 4T4R B1/3 400W 1 PCS
474914A
AOME 10G SFP+ 850nm 300m MM I-temp PCS
475336A
MCB MERLIN GERIN 63A SINGLE PHASE 1 PCS
S8O001.35
P457200 Basic System Module 1 PCS

473096A ABLA AirScale Capacdty PCS

|S7136001 FPFH Flexi Power Distribution Module 1 PCS
CS80005.64 MCB MERLIN GERIN 125A SINGLE PHASE 1 PCS
P406513 Label BTS & DDF 1 PCS

S7136002.00 FPFH RS-485 Y-cable 1 PCS

472285A FSES Flexi System External OVP 1 PCS

|473879A AMPA Pole Mounting Kt (30mm to 120Omm) 2 PCS

474278A AMBF AirScale bookmount kit 126-150 2 PCS

474840A ARDA AScale RFM 6T6R B8 480W 1 PCS
473764A ASIB AirScale Common 1 PCS
CS75107.05 SF Jumper 43M-DM 5M 6 PCS
CS80033.26 POWER CABLE N2XCY 2x16+2-5 MM-2 135

CS80072.49 Power DCcable NYY 2*16mm2 M

Address:

JN. Fransales lega RT.13 RW.05, Kel, Tenda, Kec, Langke Rembong, Kab. Manggaral, Prov. NTT

Site Coordingtes

Checked Mover Recelved By

Signature Signature Signature

Name:
Name:
PUTRA BARUS
Name
RIDO
|Dale |Date Date
|28 AGUSTUS 2022

Colly Welght Volum

Tika kolom " Remark"diblarkan kosong tanpa catatan dan berta acara serta semua dokumen yang berkaitan dengan pengiriman ini sudah ditanda tangani oleh pihak penerima.maka
material vang dikirlm dinyatakan sesual, balk & benar dalam hal Jenls barang,jumlah maupun kondislrva
 PICK UP MATERIAL REQUEST
XL Axlata
CT NAME
Request Dute 27-Sep-2022
Syartf AMarizk1
Reguestor

Estimation Prlce (Rp)

Descripton Weight (ka) Rate
Fuel Adjustment (%) Fuel Adjusted Amount Add cost (f any)
Transcortation Totat

Estimation Total (Exclude Tax)

SDR NO
Custonec PO No
XLAPDr09-092 Site i

wPID /wPO
Add Capacity Site Name NUS-NT-KFM-0096
SMP-WO-0578158 WBS
Kefameranu 7 Insana
Project
Job Type
XL Axiata
ETODate G-037214PO2-001-001-1400
|27-Sep-2022
Pick up and Deliver
Scooe of Work ETAOate 28-Sep-2022
as contract
Recioen Area Kupang
Agtity WH Kupang
Province NTB
PIC Agiy Alex Saputra lCty
PIC Mobile Phone Agity l08128767375 1 Kupang
PIC PT aigen District (Kecamatan)
Naris Kupang
PIC Mobie Phone PT Patlgeni Transport Mode Land
Ste Condbon
085339436110 Transport Type
Easy Access
Fowarder Compamy |Agilty
Nekmatani, RT 040 RW O07 Desa Kefamenanu Selatan
Meteral Fsoin kec Kota ket
Kafemenanu Kb Timor Tengah Utara Provinsi NTT Site Type
No. Naris 085339436110 Greenfield

NO MAT CODE MEM DESCRIPTION QTY UNI

472573A ex l(ex) FXDB Flexi RF Module 900 triple 9OW 1
REMARKS
SN M171604790 (re-used for Nusra Projectto
pcs
NUS-NT-RTG-0324
We kindly ask you to deliver the above mentioned materials to:
Address
kec langke rembong kab manggarai,NTT
No Suratno. 081318110567

Indonesia

Remarks :
s0gned
Approved by Hand Over by
Receved by
Name. Syarit Atarnzki Name
Narne

Date Date
27-Sep-22
Company Company
23-09-2p2
Como
Noka
Recever herewith acknowiedge that all material are receipt in good conditions