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HSBC 4X) ostomeg ir pesurataan Teancatst eneLian MaTx nwo Aine ‘The undersigned, for and on behalf of Untuk dan alas nama: Company Nene: PT. Ruaker Indonesian 138 the account holder of count number: selaku pemegang rekening nomor: ots fo ]- fe [str Like |-[e [fe Mainined wih The Hongkong and Skangbal Banking Corporation Limited, yyr¢ 4i The Hongheng and Shanghai Bening Corporation Lined, cabarg hereby declares as follows / dengan ini menyatakan baba: 1. that foreign exchange purchase tancaction against Rupiah exceuted at HSBC WC tranch for and on behalf ofthe Company onthe dsc ofthis delarntion eter doesnot cause the maximum (ansection amu ia ll banking system in Indonesia within the on-going month stipulated by Bank Indonesia, ke. USD 100,00) (one undid thousands US Dollars) or equivalent, tbe exceeded and (ranvaks!pembelion volta cxing lerhadep Rapiah yong alan dilatakan antuk dan atos nama Peresahoan pote HSBC cabong_— WAC ‘pcs tanggal rer ermyatoan 1m dak menyebabkon teronpasina ili ‘maksimam tonicksi dalam bala Berjaon yang ditapkan olek Bonk Indonesia, oi sejumfah USD 100,000 (Gera ribu US Dello) atau etunaen dri ser atm perbonkr di Indes dn the correctness ofthe above statement isthe Company”s as well as ryfous fll responsibility and Uwe hereby warant that the Company will releases HSBC from all claims, loses, costs andlor expenses that may be incurred by HSC due to the inooreciness of any staement set out herein, inclding to reimburse any cost, charges and/or expenses imposed by appropriate authority upon HSBC with respect 10 the inoorectness of any such statement. ‘kebenaran pernyciaan tersebut datas adalah sepenuhnya tanggung jawab saya/tami seria Perusahaan dan dengan ini sayvkam! menjamin boiova Perusahaan melepaskon HSBC dari segala hain, kerugian, biava danaiau pengeluaran yong mngkin ditanggung ofeh HSBC ditarenckan ketdakbenaran pernaiaan yang lersebut dalam ‘sural ini, termaruk unuik menggani!setigp biaya dan‘atau pengeluaran yang dibebankan kepada HSBC oleh ‘otoritas yang berwenang terkait dengan ketidakbenaran permyatoan lersebud ‘ack \4/03/201. Ciey/ Kota dimmyy Authorised Representative / Pejabot Yang Berwenang

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