r PERTAMINA PT Pertamina (Persero) ‘SERVICE ACCEPTANCE FROM PT. GABRIEL JAVA JL. KAPAL SOSIAL ATAS NO.02 DOK VII JAYAPURA YOUR VENDOR No WITH US 24262 ‘SERVICE ACCEPTANCE NUMBERIDOGUMENT DATE 1000808710 1 30.12.2017 REFERENCE : 4421874nNCO00009569479/20171230 TERMIN 1 IMPORTANT Penambahan Kanopl rumah meter Dermaga 2 ‘SERVICE RECEIVED tem] Service No USM [Desorption greed [Reseed [Unt Price Value ce ar juantity ~ Penambahan Kanooi Dermaga 2 1 ___[Kc2555850800 [AU EE oo aE 7 i -43'800,000,00]__48,900.000,00[ Ti Total Net Order Exclude Tax 48.900,000,00| IC ‘We confirm our acceptance ofthe terme and condition here in stated VENDOR PT. GABRIEL JAYA Signature Name: Ome ‘9022018. Fane sorone a STEVEN PATTIWAEL, 19022018, ! sas" PT Pertamina (Persero) Fax: (021) 3633585 ,3843882 Jl, Merdeka Timur No. 1A, Jakarta 10110 Telp: (021) 3815111,3816111 (86 Saluran) PERTAMINA Telex: 44152, 44: 46549, 46552, 46554 Purchase Order (PO) PO NUMBER / DATE: SHIPPING TO: PAYMENT TO: Non-Ada 4100167728 / 29.12.2017 Depot Sorang BANK MANDIRI DELIVERY DATE: NENDOR: Lain JL Trikora Jl. Jend.A.Yani No.35 IEJAPAL SoS aras No.2 Dox vi | REFERENCE / DATE Sorong 00000 Jayapura RAS REL Mg 900162668/29,12.2017 Jayapura 16 Papua, Indonesia MDR-ID-JYP-0078 VENDOR NUMBER: Account No. 1540001002645 124262 Account Holder; HADIA ‘Vendor NPWP: IMPORTANT: 01.972.887.2-952.000 1. General Terms and Condition see Attachment Terms of delivery : FOT Pertamina (Persero) Terms of payment : Within 6 days 0,000 % cash discount Currency: IDR Payment Method : Transfer-Autom. Pmt (Not Used) Penambahan Kanopi rumah meter Dermaga 2 tem] Material No Mat | Quantity Unit | Description Price per unit | Value Delivery D Group 1 $99 1) AU Penambahan Kanopi rumah meter | Dermaga 2 49.900.000 49.900.000 THE ITEM COVERS THE FOLLOWING SERVICES: 1.4 |ikc2sssesosoo 1 au. | BERSHAM OUTDOOR FACILITIES 49:900.000 49:900.000 Remarks Page 1 of?PT Pertamina (Persero) Ji. Merdeka Timur No. 1, Jakarta 10110 Telp: (021) 3815111,3816111 (86 Saluran) Fax: (021) 3633585 3843882 lf FIFTY-FOUR MILLION EIGHT HUNDRED NINETY THOUSAND RUPIAH We confirm our acceptance of this PO ‘on the terms and conditions herein stated. Signature: PT. GABRIEL JAYA Name: HADIA Date: 29.12.2017 PERTAMINA, Telex: 44152, 44302, 46549, 46552, 46554 Purchase Order (PO) PO NUMBER / DATE: Currency: IDR Non-Ada 4100187728 / 29.12.2017 48,900.00 Total net value excl. tax IDR: 49,900,000 FORTY-NINE MILLION NINE HUNDRED THOUSAND RUPIAH | VAT WAPU in IDR: 4.990.000 Total net value incl. tax IDR: 54,690,000 Approved by: US, OH TERMINAL BBM SORONG ne ow (STEVEN PATTIWAEL } Page 20f2