"TRANSFER APPLICATION FORM SMF hecoasia [VENDOR [= [PY Trinitas Bangun Electro TAF NO 748-AP-2012 | INVOICENO _PO/REF. NUMBER boc oare cor ‘AMOUNT DOC. sv ‘TOTAL AMOUNT 00% [tor {(52,800,000.00) PARAFAND DATE | CREATEDDATE [28/03/20 MAKER VERIFY | AUTHORIZE? | AUTHORIZE? | AUTHORIZES | AUTHORIZES Ww BANK OF REMITTEF [Bank Name ‘Account No CGTIBANK IDR 105646178 Bank Address : CITIBANK TOWER 7th FLOOR JLJEND.SUDIRMAN KAV 54-55 JKT-12190 BENEFICIARYS BANK: Bank Name ‘Account No Routing Code REMARK BANK PERMATA 2901393969 Bank Address : Cabang Ngagel Jaya Selatan Surabaya ‘Bown Payment 40% PLX225 Three Phase Digital DC Controlleraoe + GMFperoAsia interoffice Correspondence a Bp.NH, Sudrajat one 2203-2012 to ™ rouse = sisxcr | Permohonan Pembayaran unser TCE 1046/2012 Dengan Hormat, Sehubungan telah diterbitkannya Purchase Order (PO) No. 4610010225 , mehon bantuannya untuk melaksanakan pembayaran down payment atas Proforma Invoice no. P.033/INV/12 (terlampir) ke PT.TRINITAS BANGUN ELEKTRO, sebesar: IDR 52.800.000,00 ( Lima Puluh Duc Juta Delapan Ratus Ribu Rupiah) Terlampir kami sampaikan data pendukung yang diperlukan. ‘Mohon diinformasikan ke Unit TCE apabila sudah dllakukan pembayaran, ‘Demikian di sampaikan, atas bantuannya diucapkan terimakasih, GM. ELECTRO MECANICALCOMPONENT MAINTENANCE PROCUREMENT Sash in Advance To + Treasury Management (TX) Our Ref ‘TCE/1046/2012 Date : 22-Mar-42 ‘Mohon diiakuken pembayaran secara Cash in Advance ke Vender dengan data tersebut di bawah ini, untuk PO sebagal beri: cor | ssico.0225 132.000.0000] «0% | 52:800.000.00 | ow | 793.200.0000 m 8 a woe oT $21800.000,00 ‘Guarantee ( contra Cash In Advance) ‘Compensations ( contra Cash In Adcvanced ) IO Berk Guarantee IQ cash Discount % Perarmance Guarantee ( Srety Bord ) ')__Dekayed Shipment Penalty (Price Discount, Interest) C3) Automticaty Refund ( max 2 days afer deinery date) |C) —Purcse Order / Invoice Cancellation Penalty GM. ELECTROMECHANICAL aft ‘SYAIFUL BACHRI VENDOR BANKER Name “Tenitas Bangun Elekiro Name ‘Bank Permata Cabang Ngagel Jaya Selatan Surabaya Address Asef Rahman Moki No.St lok F Address ‘Surabaya Oty / State Cty / State Zip Codes, Zip Codes. Country Country Account holder ‘TRINITAS BANGUN ELEKTRO Attention okqento & ‘Swift Code Department Sort Code Phone: 62-31-5923058, TBAN Facsimile 62 -31- 5939660, Emel Address | tbelektro@qmaiicom Account No. 1290138,3969 PURCHASER: Name Phone 550-8454 Email Address + Daisw@qmt-aeroasia.coid Facsimile 50-0506