intan broker receipt rev00

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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 9688 E-mail : [email protected] Date ............................................ Received from ................................................................... ....................................................................... ........ the sum of Dollars.................................................................. ....................................................................... .... ....................................................................... ....................................................................... ............................ being payment of...................................................................... ....................................................................... . RM Cash/Cheque No. .................................. .................................. ............. for INTAN BROKER SDN. BERHAD 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 9688 E-mail : [email protected] Date ............................................ Received from ................................................................... ....................................................................... ........ the sum of Dollars.................................................................. ....................................................................... .... ....................................................................... RM Cash/Cheque No. .................................. .................................. ............. for INTAN BROKER SDN. BERHAD

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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 9688

E-mail : [email protected]

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

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

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

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

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

RM

Cash/Cheque No.

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

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 9688

E-mail : [email protected]

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

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

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

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

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

RM

Cash/Cheque No.

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