Materials Delivery Form

Date: 27/08/2017 Our Reference: SBC

-17-4217
Time: Your PO Reference:
1707108/MO1707056

This is to certify that, the below mentioned products were delivered to Dammam
are deliver in good condition.
No. Product Quantity
1 2
Supply of water level controller (BD01/1)
2 Supply of water level controller (BD02/2) 2

Model No BD01/1 BD02/2

Quantity 2 2
Operating Range 62 mm 150 mm
Number of Switches 1 4
Connection 100-40/2 ( BS 4504) 100-40/2 ( BS 4504)
Float Rod Length 765mm 765mm
Float SS316 ( 152mm X 67mm) SS316 ( 152mm X 67mm)

Representative: Representative: Name:

Name:

Signature: Signature: