CONSULTANT INVOICE

TO BE COMPLETED BY CONSULT ANT

Please type or print (submit with trip report and daily log, ifapplicable)

NA.i\1E OF CONSULTANT: Kusuma Banda Naira

Contract No. : 118/PKWT-B/WCS-IPNIV202 I

Account Details : Kusuma Banda Naira
Bank Syariah Indonesia
No. Rekening I 058483 I42

SERVICES RENDERED DURING THE MONTH OF OKTOBER YEAR 2021

ACTIVITYffiA TES Task# #DaJ>i Fce/Dayfferm!I Total

1'.ena..'i-

Shark and Ray Consultant / Oktober 2021 I Month IDR 3. 200.000

TOTAL !DR 3.200.000

Total Due Con sulta nt

CONSULTANT SIGNATURE
~ - DATE 30 Oktober 202 J