# # # # # #

: Date of Issue :
Cost Code :
:
: PO No. :
IRC No. :
PO Value :
Say : ( )
LD Value:
Say : ( )
Retention:
Say : ( )
DO QCR BL / AWB DCR
PL IRC COO / COC
E White : Vendor / Suplier
E Red : REK Procurement
This Delivery Completion Notice (DCN) is only for local purchase
and required as supporting document for payment with
telegraphic Transfer (T/T) remittance
QCR Quality Completion Report
DCR
DO
Abbreviation :
Approved by
PPM / Project Manager
IRC
PL
Document Completion Request
Delivery Order
AWB
Inspection Release Certificate
BL
COC
COO
Date :
Certificate of Country
Air Way Bill
Bill of Lading
Certificate of Origin Packing List
Expediter
Name : Name :
Date :
Delivery Status
(filled in by REK)
Behind Schedule
On Schedule
Document Checking List
Reviewed by
DELIVERY COMPLETION NOTICE (DCN)
Partial Shipment Delivery
Date of Partial Shipment
Vendor / Suplier Name
Vendor Code (Epro Code)
Ahead of Schedule
Days / Weeks
Fabricator
Seal & Signature
Name:
Remark Quantity
Days / Weeks
No Item No Item Description
Delivery Term and
Date (dd/mmm/yy)
Delivery Completion
Date (dd/mmm/yy)
Distribution Sheet :
1st Shipment 2nd Shipment 3rd Shipment 4th Shipment 5th Shipment Final Shipment
# # # # # #

: Date of Issue :
Cost Code :
:
: PO No. :
IRC No. :
PO Value :
Say : ( )
LD Value:
Say : ( )
Retention:
Say : ( )
DO QCR BL / AWB DCR
PL IRC COO / COC
Delivery Term and
Date (dd/mmm/yy)
Delivery Completion
Date (dd/mmm/yy)
Seal & Signature
Name:
Remark Quantity
Days / Weeks
DELIVERY COMPLETION NOTICE (DCN)
Partial Shipment Delivery
Date of Partial Shipment
Delivery Status
(filled in by RE)
Behind Schedule
On Schedule
Document Checking List
Days / Weeks
Fabricator
No
COC
COO
Date :
Certificate of Country
Air Way Bill
Bill of Lading
IRC
PL
Document Completion Request DCR
Abbreviation :
Approved by
PPM / Project Manager
AWB
Name :
Date :
This Delivery Completion Notice (DCN) is only for local purchase
and required as supporting document for payment with
telegraphic Transfer (T/T) remittance
Item No Item Description
Vendor / Suplier Name
Vendor Code
Reviewed by
Expediter
Name :
Ahead of Schedule
DO
Inspection Release Certificate
Packing List Certificate of Origin
QCR Quality Completion Report
Delivery Order BL
1st Shipment 2nd Shipment 3rd Shipment 4th Shipment 5th Shipment Final Shipment
REKAYASA INDUSTRI
ENGINEERING & CONSTRUCTION

PT