PT MILINEAL SENTOSA PRO FORMA INVOICE

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Page: 1 of
Date: August 24, 2020
Date of Expiry: August 24, 2020
Invoice #: 54246867
Customer ID: ABC123

Bill To: Ship To:

Bintang Bintang
PT Triguna mandala PT Triguna mandala
Jl.jembatan besi No.33 , Komplek season city Jl.jembatan besi No.33 , Komplek sea
Jakarta barat , 11320 Jakarta barat , 11320
817100894 817100894

P.O. #: Mode of Transportation:

P.O. Date: Transportation Terms:
Letter of Credit #: Number of Packages:
Currency: Est. Gross Weight:
Payment Terms: Est. Net Weight:
Est. Ship Date: Carrier:

Additional Information for Customs

Reason for Export:
Port of Embarkation: Port of Discharge:
Country of Origin: AWB/BL #:
Unit Price Sales
Item/Part # UOM Description Qty
Tax
123894 Masker N 95 9105 Vlex ( 50 pcs) 2.3000.000 7

Special Notes, Terms of Sale Subtotal

Subject to Sales Tax
Sales Tax Rate
Sales Tax $
S&H $
Insurance $
[Other] specify $
[Other] specify $
[Other] specify $
Total $

I declare that the information mentioned above is true and correct to the best of my knowledge.
Signature date : 24 Agustus 2020
 PT MILENIAL SENTOSA
Phone : 08889894729 , Email : Clementcladityo11@yahoo.com , Fax : 0219827822
INVOICE
1
August 24, 2020
August 24, 2020
54246867
ABC123

a
o.33 , Komplek season city
20

Line Total
16.100.000

16.100.000

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16.100.000