KEBq sda BY AE AS 2888 x 1S (02)885-0249 an JAN. D6TH, 2009 10:46:50 &a)a as BANK KEB INDONESIA: (ROEXIOJA—} A8EBTO ) 9144-0rT-o90100028 aA a 4 & (SENDERS REFERENCE) 999197/10R/##*##75.698, 176 wAUn 2 824 ca ED fossteessesasio1s90 1/CeHYO NOVIADI. NUGROHO CROEAN CuSrovesy 2/7190°220 KARUAKSA SEOUL UNIV. S/KR/SEOUL KOREA STA S8el ACA -CENAIDIA (SIFT BIC) (QCCOINT UITH BAK) ex AR GaLOO x BANK CENTRAL ASIA, JAKARTA ENARA BOA, GRAND INDONESIA SJLLMLH.THAMRIN NO.L, JAKARTA 10510. INDONESIA say 0 4 2 7600525099 (seneroway ousroven) KOMITE NASIONAL UNTOK RACYAT PALEST Na IOONESIA JAKARTA VETERAN B& Dif IgA me @ uy & BHF TEL.62 21 794 8978 SOCIAL FUNOTNG GORTAE WORT TaNeyesanes SHACFH) (DETAILS OF CHARGES) BAAR AS (Senoeg ro RECEVER pisppek FORM AGL ON) 75,698,176 pea) TOR 75,698,176 @ 12.05 KR 8,888,000 Mb) Sahesee KRU 20,000 wale KR 8,000 (Pe Wt KRW 26,000) ae/1Sas Ase ch at sat BA 8,916,000 KR 8,916,000 48 Pees + 08-Us0 6,706.53 < gaaex > AMS : BOLI, ABBY : 08, BBA: Gld-124 , AAeee : GOIVOTTOROLOID: (OU HAVE BEEN INSURED AN ACCIOENTAL INSURANCE FOR TWO MONTH FROM THE NEXT OAY OF THIS TR. IN CASE OF ACCIDENT, PLEASE CALL 02-6900-3453 QUOTING INSURANCE POLICY NO. 106020060000961 ome: 3,583 oly yod: 5,355 * SUE UBle SSG ROWE BF Ol MER MAlolAle wc} aigel AeIBLIC, www ked.co.ki (it woald he rotetedfaser you bring tis copy in ce the romitance is made the sane as this ie) 1 CLNMY SS DAS CEE Seto Uc} Male Bue! BOR Saw 4 BSUCt min