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  • Tanda Terima Softfile - Dokumen - JF

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    Luki Aristio Wibowo
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    This receipt from PT. LPS Indonesia documents goods received from Diah on an unspecified date. It details 10 transactions, including services provided like RPTKA slots, KITAS, IMTA, and SKJ. The total amounts received for each transaction are listed in Rupiah. The receipt was signed by both the recipient and sender to acknowledge the transfer.

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    Tanda terima softfile - dokumen - JF

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    This receipt from PT. LPS Indonesia documents goods received from Diah on an unspecified date. It details 10 transactions, including services provided like RPTKA slots, KITAS, IMTA, and SKJ. The total amounts received for each transaction are listed in Rupiah. The receipt was signed by both the recipient and sender to acknowledge the transfer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    63 views22 pages

    Tanda Terima Softfile - Dokumen - JF

    Uploaded by

    Luki Aristio Wibowo
    This receipt from PT. LPS Indonesia documents goods received from Diah on an unspecified date. It details 10 transactions, including services provided like RPTKA slots, KITAS, IMTA, and SKJ. The total amounts received for each transaction are listed in Rupiah. The receipt was signed by both the recipient and sender to acknowledge the transfer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 22

    PT.

    LPS INDONESIA
    EightyEight@Kasablanka Office Tower Lt 25 Unit G, Jl. Casablanca Kav. 88 Jakarta Selatan 12870
    Tel: (62-21) 2968 1688 (Hunting) Fax: (62-21) 2968 1689 / 90 E-mail: hadi@lpsindonesia.com
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11902044 - SBS - RPTKA & IMTA 8 pax 44,800,000

    2 JF 11902049 - Lautan Pilar - KITAS 4 pax 58,500,000

    3 JF 11903025 - Konsorsium JDI - KITAS 2 pax 34,000,000

    4 JF 11903032 - Arthasai - RPTKA 4 slot 4,000,000

    5 JF 11903047 - AOS - KITAS extend 7 pax 54,950,000


    2-May
    6 JF 11904013 - Helms Geomarine - Tera 18 pax 113,400,000

    7 JF 11904014 - Ponco Oilfields, - KITAP 32,500,000

    8 JF 11904066 - Germanischer - SKJ 2 pax 2,000,000

    9 JF 11904065 - Deleum Primera Sdn Bhd - SKJ & Company sponsorship 3,500,000

    10 JF 11904052 - Global Maritime - Wajib Lapor 1,000,000

    Receiptiant, Sender,
    jd tgl 7 Mei

    jd tgl 16 Mei
    PT. LPS INDONESIA
    EightyEight@Kasablanka Office Tower Lt 25 Unit G, Jl. Casablanca Kav. 88 Jakarta Selatan 12870
    Tel: (62-21) 2968 1688 (Hunting) Fax: (62-21) 2968 1689 / 90 E-mail: hadi@lpsindonesia.com
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Date : 3-May


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 3-May DEBIT NOTE No. PTLPS-DB 19075 USD 5,400

    2 INVOICE No. LPS-LINV19162 - RPTKA 17 pax IDR 28,050,000

    3 INVOICE No. LPS-LINV19178 - IMTA Dahsuskim 17 pax IDR 28,050,000

    4 INVOICE No. LPS-LINV19247 - VKSK, Escort, Sign On 18 pax IDR 65,340,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    EightyEight@Kasablanka Office Tower Lt 25 Unit G, Jl. Casablanca Kav. 88 Jakarta Selatan 12870
    Tel: (62-21) 2968 1688 (Hunting) Fax: (62-21) 2968 1689 / 90 E-mail: hadi@lpsindonesia.com
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Date : 11-Jul


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 11-Jul INVOICE No. LPS-LINV19322 - Shore pass IDR 9,900,000

    2 INVOICE No. LPS-LINV19345 - Hotel & transport IDR 30,163,980

    3 INVOICE No. LPS-LINV19275 - SKEP Dhs, Visa conversion, Dhs implementation IDR 124,740,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    EightyEight@Kasablanka Office Tower Lt 25 Unit G, Jl. Casablanca Kav. 88 Jakarta Selatan 12870
    Tel: (62-21) 2968 1688 (Hunting) Fax: (62-21) 2968 1689 / 90 E-mail: hadi@lpsindonesia.com
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11903060 - Konsorsium PT Segara Laju - JDI - Revisi 54,750,000

    2 JF 11902041 - NES - ERP 2 pax 1,500,000

    3 JF 11903045 - NES - KITAS Gabriele, Add cost Cilegon KITAS 4 pax 13,500,000

    4 7-May JF 11904014 - Ponco Oilfields, - KITAP 32,500,000

    5 JF 11902047 -COSL -VSSK, LO Arrangement 3 pax 37,050,000

    6 JF 11905004 - COSL - SKJ 2 pax 1,900,000

    7 JF 11902042 - Pageo - SKKOA 3 pax 9,750,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Note.

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11904013 - Helms - Hotel & transport crew 27,421,800

    2 JF 11904013 - Helms - Shore pass 18 pax 9,000,000

    3 JF 11903060 - Konsorsium JDI - VSSK, Escort, Dahsuskim, Susmar, EPO 44,700,000

    4 JF 11904064 - JDI -Telex 212 2,500,000

    5 16-May JF 11903045 - NES - Escort ITAS, KITAS 3 pax 22,500,000

    6 JF 11905012 - Groundprobe - Visa china 2 pax 3,900,000

    7 JF 11905031 - Daewoo - SKJ 4 pax 4,000,000

    8 JF 11904052 - Global maritime - Wajib Lapor 1,000,000

    9 JF 11902043 - Istech - KITAS Manokwari 2 pax 35,000,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11904007 - penta global - SKJ 3 pax 3,000,000

    2 JF 11904063 - Artha Ashai - Kenneth Lee (IMTA sd KITAS), IMTA 3 bln 2 pax 16,100,000

    3 JF 11903047 - RPTKA 5 Slot, ERP 2 pax, IMTA, telex, KITAS an Sandeep, Amit K 29,650,000

    4 JF 11902044 - COSL INDO, KITAS paket Guan Xing 10,000,000

    5 20-May JF 11905013 - RPTKA 38 slot 106,400,000

    6 JF 11905021- COSL INDO, RPTKA extension 38 slot 106,400,000

    7 JF 11905021 - SKJ 4 pax, Add location RPTKA & imta 11 PAX 16,300,000

    8 JF 11903062 - RPTK 23 slot, Paket KITAS Law Choy Yoke 60,500,000

    Receiptiant, Sender,
    jd tgl 12 Juni

    jd tgl 12 Juni
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11904007 - penta global - SKJ 3 pax 3,000,000

    2 JF 11904063 - Artha Ashai - Kenneth Lee (IMTA sd KITAS), IMTA 3 bln 2 pax 16,100,000

    3 JF 11904007 - penta global - RPTKA 10 pax 15,000,000

    4 JF 11811021 - Mr Zachari - Visa 212 2,500,000

    5 12-Jun JF 11905065 - Artha Ashai - RPTKA 39 pax 39,000,000

    6 JF 11905001 - Telford - Sponsorship, RPTKA 44 pax, IMTA 42 pax 1,109,105,000

    7 JF 11902042 - Pageo Utama - KITAS 4 pax 59,000,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11904007 - penta global - VOA 3 pax - SKJ 4 pax 8,050,000

    2 JF 11904007 - penta global - IMTA 10 pax 10,000,000

    3 JF 11903019 - idros - RPTKA 6 pax, Paket Kris Marcel 30,550,000

    4 JF 11904052 - Global Maritime - IMTA, Telex, VTTSK an Ismail 8,000,000

    5 JF 11905072 - NES Global - IMTA, VTTSK, Visa 212 31,000,000

    6 JF 11905001 - Telford - VSSK, Escort, SKEP Dahsuskim 333,340,500


    19-Jun
    7 JF 11903062 - Think Tank - IMTA, VTTSK an Ng Swee Ling 13,500,000

    8 JF 11905065 - Artha Ashai - IMTA 34 pax, RPTKA 7 pax 41,000,000

    9 JF 11902044 - COSL - KITAS package Zhang Yuping 10,000,000

    10 JF 11902044 - COSL - KITAS package Zhang Yongjie, Bai Yutao, He Xiaohua 30,000,000

    11 JF 11905013 - COSL BOSS - IMTA 21 pax 37,800,000

    22,500,000
    12 JF 11902047 - COSL - LO Arrangement 2 org
    140,000,000
    13 JF 11905062 - Java Star Rig - RPTKA 62, RPTKA 2, RPTKA 16

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11904007 - penta global - VOA 2 pax - Telex Visa & KITAS 10pax 92,700,000

    2 JF 11905072 - NES Global - SKKOA Sew Min Chuan 3,500,000

    3 JF 11905072 - NES Global - IMTA, VTTSK - Revisi 1 27,000,000

    4 JF 11905072 - NES Global - Visa 212 Ballard 2,500,000


    28-Jun
    5 JF 11902047 - COSL - Dahsuskim 17, Tera 7 58,450,000

    6 JF 11905013 - COSL BOSS - VSSK, Escort, Dahsskim, visa conversi 51,700,000

    7 JF 11902023 - COSL PO Div - IMTA 10 pax 18,000,000

    8 JF 11906029 - Think Tank - IMTA, VTTSK Yap Khiam, Anu Moothedath 17,000,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Note.

    1 9-Jul Pasport an Zhang Dapeng original

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11904013 - Helms Geomarine - Hotel & Transport (crew off) 5,812,500

    2 JF 11904065 - Deleum - Paket KITAS Zikrillah 33,000,000

    3 JF 11906012 - Kaefer - SKJ 2 pax 3,000,000

    4 JF 11906008 - Artha Ashai - Visa 212 & colect McVey 5,500,000


    10-Jul
    5 JF 11904066 - Germanisher - Visa 212 & revisi 7 pax 17,500,000

    6 JF 11904007 - Penta global - SKJ 3 pax 3,000,000

    7 JF 11903019 - Idros - Visa collect 211 Wayne & Nadine 5,000,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11905064 - Expertise - Paket Andrea Borro USD 3,850

    2 JF 11906031 - IREM SPA - Paket KITAS Miranda 2 pax USD 6,970

    3 JF 11906031 - IREM SPA - PERSONEL Ria 3 bln USD 2.550

    4 JF 11906013 - CSTS - Paket KITAS 3 pax 101,850,000

    5 16-Jul JF 11906011 - CSTS - Paket KITAS Pietro 39,050,000

    6 JF 11902058 - CSTS - Personnel Yuni 24,000,000

    7 JF 11902058 - CSTS - LPS Sponsorship , visa collect 211, SKJ Pantaleo 49,350,000

    8 JF 11902058 - CSTS - Paket KITAS Zaini 32,250,000

    9 JF 11902058 - CSTS - Paket KITAS Guido 43,950,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11907049 - NES - RPTKA 10 15,000,000

    2 JF 11907052 - COSL INDO - RPTKA 36 100,800,000

    3 JF 11907068 - PAGEO - RPTKA 4,500,000

    4 JF 11905031 -DAEWOO - SKJ 3,000,000


    19-Jul
    5 JF 11907050 - Konsorsium/JDI - RPTKA 46 92,000,000

    6 JF 11907050 - Konsorsium/JDI - RPTKA 5 10,000,000

    7 JF 11902025 - Boskalis - RPTKA 48 105,600,000

    8 JF 11902025 - Boskalis - RPTKA 7 15,400,000

    9 JF 11907036 - IDROS - RPTKA 48 84,000,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11906008 - Artha Ashai - RPTKA 5 5,000,000


    22-Jul
    2 JF 11903019 - Idros - KITAS Brullot, Nadine 22,500,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11907068 - Pageo - VSSK,Escort,Dhs 4 pax 40,300,000

    2 JF 11901014 - NES Global - EPO Batam an Sammy Dif 1,500,000

    3 JF 11907036 - IDROS - IMTA 27pax, RPTKA 46 slot 114,250,000


    7-Aug
    4 JF 11907050 - JDI - IMTA 52 pax - HK5 104,000,000

    5 JF 11904064 - JDI - VSSK,Dhs,escort,susmar - HK11 28,200,000

    6 JF 11903060 - JDI - LO Arrngmt,RPTK,VSSK,Dhs,escort - HK11 38,550,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11905001 - Telford - EPO, Tera, Dhs, VSSK, Escort 184,773,500

    2 JF 11905001 - Telford - Sponsorship , RPTKA, IMTA 126,512,500

    3 JF 11905072 - nes Global - KITAS nelson, Norvin 35,082,500


    8-Aug
    4 JF 11908017 - Angkasa Indo, SKJ Gunasekar 1,000,000

    5 JF 11905013 - COSL Indo, VSSK, escort, tera, dhs, sign on, epo 178,900,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11905072 - NES Global - Visa Saudi 22,000,000

    2 JF 11907036, 11903019 - IDROS - IMTA, VBS, Visa collect, ITAS, 212 Dries 21,900,000

    3 JF 11903060, 11904064 - Japan Drilling, VVSK, escort, sign on, sign off, EPO, VTTSK, Mutasi 29,850,000
    alamat

    4 JF 11907049 - NES Global - ERP Cilegon 9 pax 13,500,000

    5 JF 11907049 - NES Global - ITAS 4 pax 48,910,000

    6 2-Sep JF 11908031 - Istech - RPTKA 3 pax 3,750,000

    7 JF 11903003 - Noble denton - RPTKA, IMTA, VBS, ITAS, SKJ 9,000,000

    8 JF 11906008 - Artha Ashai - RPTKA 30 slot 36,000,000

    9 JF 11907079 - Advance Offshore - PP, ERP, ITAS, VBS, IMTA 22,375,000

    10 JF 11908064 - COSL Power - RPTKA 36 slot 100,800,000

    11 JF 11904007 - Penta Global - SKJ, VOA 17,700,000

    12 JF 11906031 - IREM - Sponsorship, DPKK, STM, SKJ, Visa collect USD 31,060

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    1 JF 11905013 - COSL BOSS - VSSK, Escort, Dahsuskim, Konversi 28,275,000

    2 JF 11905013 - COSL Boss - Transportasi 28,150,000

    3 30,504,000
    JF 11902023 - COSL INDO, KITAS package 2

    4 JF 11907036 - IDROS - IMTA 42, RPTKA, VSSK 14, Escort, Dhs 36 167,750,000

    5 JF 11907036 - idros - IMTA, Telex , ITAS 21,900,000

    6 JF 11908027 - James Fisher - Sponsorship, VSSK, SKJ 288,600,000

    7 JF 11907049 - NES - ITAS 4 pax 56,910,000

    8 JF 11907049 - NES- Visa 212 2,500,000

    9 JF 11902025 - Boskalis - Dahsuskim, konversi, VSSK 30,435,000

    10 JF 11902025 - Boskalis - Dahsuskim, konversi, VSSK 20,820,000

    11 JF 11902047 - epo, Visa 211, visa collect, VOA Ruan Zheng 15,300,000

    12 JF 11902047 - COSL Indo, Dahsuskim, tera vssk, escort,, EPO 143,000,000

    13 JF 11902047 - COSL Indo, Paket kitas 2 pax 30,504,000

    Receiptiant, Sender,
    PT. LPS INDONESIA
    Gedung Artha Graha Lt. 7 SCBD Lot 25, Jl. Jend. Sudirman Kav. 52 - 53 Jakarta Selatan 12190
    Tel: (62-21) 515 - 3225 (Hunting) Fax: (62-21) 515 - 3748
    (Registrated NPWP No. 02.418.999.5-059.000)

    RECEIPT / TANDA TERIMA

    Received From : Diah (WP) Date :


    Received by :
    DOCUMENTS / GOODS HANDOVER LIST

    NO. Date Description Amount

    Receiptiant, Sender,

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