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PI NO.: | |
PI DATE: |
VENDOR: | BUYER: | ||||
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NO. | COMMODITY, SPECIFICATION | UNIT | QUANTITY | UNIT PRICE | TOTAL PRICE |
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SUBTOTAL: | |||||
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TOTAL PRICE: | |||||
ACCOUNT INFORMATION: | ||
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Beneficiary Name : Beneficiary Bank : Beneficiary Bank Address : Beneficiary Account Number : Swift Code : Beneficiary Address: |
First Name(Forname): : Last Name(Surname) : |
CONFIRMED BY VENDOR: | CONFIRMED BY BUYER: |
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