PT.

SINAR MAS AGRO RESOURCES AND

TECHNOLOGY TBK. (PT. SMART TBK) Form No. : XXXXXXXX
SINAR MAS LAND PLAZA MENARA 2 LT. 2 28-30, PO. Date : 27.05.2017
JL. MH THAMRIN NO. 51 GONDANGDIA MENTENG PO. No. : 9600000164
JAKARTA PUSAT, DKI JAKARTA Page : 1 / 2
NPWP : 01.000.183.2-092.000 Revision : 2
Telp No: 021-3182828 Fax No: 021-3182889
PURCHASE ORDER
Please deliver to: To:
Jakarta Refinery PT. xxxxxxxxxxx
Kawasan Industri & Pergudangan Marunda Jl. xxxxxxxxxxxxxxxxxxxxxxxx
00000 Blok D No. 1, Marunda, Bekasi Jakarta 10350
11510 Jakarta Barat
021 – 123 45678 / 021 - 9101121
Plant : Jakarta Refinery
Your Quotation : 123/XY/2018
Mode of Transport : Land
Terms of Payment : Payment due 30 days after invoice rec'd
Delivery Terms : CIF Jakarta
 Please forward goods to the address indicated above and with price in accordance to your offer.
 When dispatching goods, the Delivery Note should have minimum 3 copies and has to indicate our Purchase Order Number.
 Billing Invoice and its supporting document for Payment purpose should be sent to Sinarmas MSIG Tower 26th Floor
(Counter B), Jl. Jend. Sudirman Kav 21, Setiabudi, RT 10/RW 1, Karet, Jakarta Selatan, DKI Jakarta -12930 and must submit 2
copies of official Receipt, 2 copies of Invoice, and 2 copies of Delivery Note to Accounts Payable Department.

No Item No Total Unit Delivery Date Unit Price Amount

Item Description
00001 1 PC 31.05.2017 4.900.260 4.900.260
EXTECH Light Meter 400.000 LUX EA30 EX00
Sample of Item Text
SC/PR: 10000000027 / 10
Supplier PN: 78C568C0A6 | PR-866-1537234664253

00002 1 PC 31.05.2017 2.594.513 2.594.513

EXTECH Ph Meter IP57 Exstik Ph100 EX0000
Sample of Item Text
SC/PR: 10000000027 / 20
Supplier PN: B9E03CE51B | PR-866-1537234664253
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Total IDR 7.494.773,00
PPN 749.477,00
----------------------------------------------------------------------
Total IDR 8.244.250,00

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AMOUNT : Eight Million Two Hundred and Forty Four Thousand Two Hundred and Fifty IDR
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Authorised Signature, Supplier’s Confirmation:

Diah Devi H. lius.sanjaya@bizzy.co.id

THIS IS A COMPUTERISED PURCHASE ORDER, confirmed on 05.05.2018 17:30
SIGNATURE IS NOT REQUIRED

 SMART expects all providers, their employees and subcontractors ("Supplier") to follow the Company's high ethical standards set forth in "Code
of Conduct" and the "GAR Social and Environmental Policy" a copy which can be found at http://www.smart-tbk.com/about_suppliercode.php
 All Suppliers or Contractor are obliged to follow Occupational Health and Safety (OHS) on delivery of goods / services, provide Personal
Protective Equipment (PPE), and does not cause environmental pollution and accidents in the company area