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OFFICIAL RECEIPT

INTAN BROKER SDN. BERHAD (125529-P)

No. 38-3, Jalan Tun Sambanthan 3, Brickfields, 50470 Kuala Lumpur,P.O. Box 13425, 50810 Kuala Lumpur.

Telephone : (03) 2274 1688 Facsimile : (03) 2274 9688Email : [email protected]

Date ............................................

Received from ..................................................................................................................................................

the sum of Dollars.............................................................................................................................................

..........................................................................................................................................................................

being payment of..............................................................................................................................................

RM Cash/Cheque No.

................................................................................. for INTAN BROKER SDN. BERHAD

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