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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