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PROFORMA INVOICE

No. Proforma Invoice : Tanggal


28/LPPM/UNISNU/X/2021 26 Oktober 2021
Proforma Invoice Number Due Date

Organisasi : Penyerahan pekerjaan :


Organization Account Delivery project
PT BHUMI JATI POWER CSR of Tanjung Jati N Expansion (Jawa-4) Coal Fired Steam
Summitmas I, Lantai 15 Power Plant 2X1000 MW, Tubanan Village, Kembang District,
Jl. Jendral Sudirman Kav 61-62 Jepara Regency (PLTU TJB 5&6)
Jakarta 12190, Indonesia
Rer. to Mr. Shinji Yokota
Phone
Email
Doc Ref. Service Agreement For Hydrological Study On Artesian Well Plan, No. : C-BJP-21-0019-CSR

Delivery Date Payment Terms Requested By : Department


by project schedule Telegraphic Transfer Ariyanto, ST. MT. Chief of Project Research and Study

QUOTATION
NO Milestone Description QTY Unit Price/Unit Amount
1 Term I: Studi Hidrologi 25 % Rp 86,616,364 Rp 21,654,091
2 PPN 10% 10 % Rp 21,654,091 Rp 2,165,409

Sub Total Rp 23,819,500

Catatan : term of payment : according to the contract milestone (10% tax included)
Notes Bank Account :
UNISNU JEPARA
Mandiri Bank Jepara
135-00-1057455-4

Diajukan Oleh: Disetujui oleh:


Submitted by Approved by

Ariyanto, ST. MT. Dr. Sisno Riyoko, SE. MM.


Chief Project of Research and Study Chairman Of Institute

Form LPPM/FS-Fin

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