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F1-M-003

Application Detail Fund Transfer

[Common Information] No.: 503 - 1


Transfer Type Telegraphic Holder Name KALTIM PARNA INDUSTR
Sub Type Tele Creator EVIKPI Delete
S/M Single Checker 1 NASRUDIN Approver 1 IWATA01
Value Date 07/04/2009 Checker 2 Approver 2
Principal A/C CA 1106270101-IDR Checker 3 Approver 3
Charge A/C CA 1106270101-IDR Data ID JC05J-94707UUS1-F1
Debit Type Sent Time 07/04/2009 14:44:13.603
Ref. Cheque No.
Total Amount IDR 5,520,000.00 Clearing Date
Env. Status Processing Inst. Status Processing

[Payee Information]
Name NOPI SUSANTO
Bank Name MANDIRI
Branch Name RE MARTADINATA BANDUNG
Bank Code Bank Country INDONESIA
A/C No. 1310006269221 Payee No.
Attention
Payee Country Payee Code
Payee Address

[Payment Information]
Amount IDR 5,520,000.00 Remit.Currency IDR
+ Invoice Amount
+ VAT Amount VAT Rate(%)
- WHT Amount Our Bank Charge Applicant
- Discount Amount Bene. Bank Charge Applicant
- Our Bank's Charge

[Forex]
Debit A/C Exchange Type Contract No. Exchange Rate Amount You Use
CA 1106270101-IDR NO EXCHANGE 5,520,000.00

[Message]
To Payee V0641

To Bank

Printed 07/04/2009 15:23:36 Page 1 of 1

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