a A PERTAMINA PHE NSB Service Ord PO NUMBER / DATE: Currency: IDR PO Service 3900001557 / 02.12.2016 Total Price in IDR: 38.750.000 Total not value excl. tax IDR: 38.750.000 VAT in IDR: ° Total net value incl. tax IDR: 8.750.000 THIRTY-EIGHT MILLION SEVEN HUNDRED FIFTY THOUSAND RUPIAH We confirm our acceptance of this PO on the terms and conditions herein stated. Signature: Name: Date: Approved by: (ADI HARIANTO ) Page 30f 3 Mta J PERTAMINA PHE NSB ‘Service Order PO Service VENDOR: EV ASIA MANDIR aipoinr’A” BUKIT INDAH KM.1 besa | REFERENCE / DAT! Seeett 6500002047/01.12.2016 ACEHUTARA, 24385 Nanggroe Avsh Deruss, Indonesia VENDOR NUMBER: 152880 Vendor NPWP: 3900001587 / 02.12.2016 | NSB Fis 31,722.566.2-102.000 PO NUMBER / DATE: SHIPPING TO: PAYMENT TO: Id BANK MANDIRI APO Point A, Nibong JL KEBON SIRIH NO 83 Lhoksukon, Aceh Utera 24381 JAKARTA JAKARTA THAMRIN MDR-ID-JKT-0130 ‘Account No. DELIVERY DATE: : 1580001750967 Account Holder_: CV ASIA MANDIRI IMPORTANT: 1. General Terms and Condition see Attachment Terms of delivery : Currency: IDR Payment Method : Bank Transfer Terms of payment : Within 30 days 0,000 % cash discount Item] Material No/ | Serv | Quantity | Unit | Description Price per unit | Value Delivery Service No Group| : Date 10 S99 1| AU | Provide Service of 42° Bell-Hole Inspection : '38.750.000 '38,750.000| 28.02.2017 1. 4 Holes - Unwrapping and re-wrapping the pipe after NDT Inspection 2. 4 Holes - Watchman, rental tent, genset, lamp and plywood Note: Service Date : 28 February 2017 ‘THE ITEM COVERS THE FOLLOWING SERVICES: 10.1 4 AU _ | - Unwrapping and re-wrapping the pipe 6.250.000 25.000.000| 10.2 4 AU | - Watchman, rental tent, genset, lamp and 3.437.500 13.750.000) Remarks : 11, Ref PR No 300001799 2. Ref quotation CV Asia Mandi email Tgl 1 Des 2016 3. Terms & Condition terlampir G/AM-PH/X/2016 yang diperbarui via Page 10f 3a Ss" PERTAMINA PHE NSB Service Order PO Service PO NUMBER / DAT! 3900001867 / 02.12.2016 ‘Currency: IDR Page 2 of 2 deea B® PERTAMINA PHE NSB Service Order PO NUMBER / DATE: Currency: IDR PO Service 3900001557 / 02.12.2016 Total Price in IDR: 38.750.000 Total net value excl. tax IDR: 38.750.000 VAT in IDR: ° Total net value incl. tax IDR: 38.750.000 THIRTY-EIGHT MILLION SEVEN HUNDRED FIFTY THOUSAND RUPIAH We confirm our acceptance of this PO Approved by: ‘on the terms and conditions herein stated. + GENERAL MANAGER Signature: UA ae Date: Caw Page 3 of S| Ww