Data Sheet for making an order for transformers

Addendum No__ to the Contract

No.____ dated «__» ___________ 200__

Reminder to the CUSTOMER!

Equipment is dispatched only on WRITTEN notification of the manager and under POWER OF ATTORNEY!

Data Sheet No.______

Symbol Legend for Equipment

To be filled in by the Customer

(when selected - «Yes»

or - «No»)

Quantity

(in figures and in words)

items

Transformer design

__ (_____)

TMZ

TMG

Capacity

HV voltage

LV voltage

Connection group

Weight (kg)

Year of manufacture

Country of manufacture

Dimensions

W (width)

(mm)

H (height)

L (length)

BUYER: ___________________

_______________(__________________)

«____»______________200__

Seal

SUPPLIER: ООО UZTT

Director of ООО UZTT ________ (Shmal A.S.)

«____»______________200__

Seal

М.П.

Contractor: _____________(________________)

Tel.: 8(343)-__-__-___(__), E-mail: _____________

__________________________

«___»__________ 200__

Filled in by Supplier:

Принял Order is accepted: __________________(_____________________) Date/ time______________

Read & Understood: Commencement (foreman) _________________(____________________) Date_____________

Buyer's person-in-charge (phone): ____________________________________________________

Mailing address: ____________________________________________________________________________

Place to deliver equipment to the Buyer: no delivery obligation

Transportation/delivery expenses: delivery is in the responsibility and at the expense of the Buyer

(If the transport is ordered, specify the company and the date)

Invoice No.___ dated «__»__ 200__	1 payment	*Status of the contract*
	2 payment
	3 payment
	4 payment	*Invoice No.____***
	5 payment	*Invoice No.____***