CSL Technologies (M) Sdn Bhd

(429166-A)

Lot 9896-B, Jalan Kampung Jawa, Batu 4, Kg Jawa, 40460 Shah Alam.
Tel: (603)5161 3799 Fax: (603)5162 3711 Email: lrcinside@lrc.com.my Website: www.lrc.com.my

DELIVERY ORDER

No.

CO

YOUR
. REF :

ADD

OUR REF :

Date:

CODE

PAYMENT :

DELIVER TO
ATTN
TEL

ADD

FAX

ATTN
HP

Item

Model No.

Description

|_|

Own Collection

|_|

CSL :

Name & I/C

|x|

Transporter :

Co Stamp & Signature

WFD3845

E & O.E.

Issued by

Qty

(Unit)

Above goods received in good order & condition.

Date & Time

REMARKS

CS-F16B
REV.0