Invoice No.

: 0505/GMR/DN-P&I/I/2023
January 5th, 2023
To:
PT. Karunia Samudra Indonesia PT. Global Marine Resources
Jl. Sepinggan Baru No. 88 RT 32 Pesanggarahan Building
Balikpapan Jl. Lebak Bulus III / No.50
Kalimantan Timur 76115 INVOICE First Floor, Kav.A106- A108
Indonesia Telp : (6221) 2276 9132
Jakarta 12440
Indonesia

Type of Cover Period of Cover Quotation Bound Insurer

6-JAN-2023 to 5-JAN-2024 Maritime Mutual Insurance

Protection & Indemnity 0939/QS-P&I/GMR/1/2023
(12 Months) Association (NZ) Limited

Insured Interest/Vessels Insured Limit of Liability Annual Premium Qty Total

PT. Karunia Samudra

Indonesia as Owners and/or as KARUNIA SAMUDRA 12 USD 5,000,000 USD 1,400.00 1 USD 1,400.00
Operators and/or as Managers

Total Net Premium USD 1,400.00

Admin + Policy Cost USD 5.00

Amount due to us USD 1,405.00

Annual Premium to be paid in : Full Payment of due date, January 6th, 2023

Please pay in original currency before due date for the installment
either by cheque, by giro, or by bank transfer and payable to:
PT. GLOBAL MARINE RESOURCES
BANK DANAMON- Cabang Comercial Desk - Kuningan/Jakarta
A/C USD. 356-869-172-3
A/C IDR. 357-968-117-6

PT. Global Marine Resources,

Authorized Signature
Yodhisvara Vijaya

We shall not be liable for Insurers claim declinature due to your late payment or non-payment premium.
We "Thank You" for your continued business.
 PT. GLOBAL MARINE RESOURCES
BANK DANAMON
Cabang Comercial Desk - Kuningan/Jakarta
Bank Account : (IDR) 357-968-117-6

Cantumkan Berita Transfer

Invoice No : 0505/GMR/DN-P&I/I/2023
Full Payment

To: Pay to:

PT. Karunia Samudra Indonesia PT. Global Marine Resources
Jl. Sepinggan Baru No. 88 RT 32 Pesanggarahan Building
Balikpapan Jl. Lebak Bulus III / No.50
Kalimantan Timur 76115 First Floor, Kav A106-A108
Indonesia Jakarta 12440
Indonesia

Invoice No# 0505/GMR/DN-P&I/I/2023

Invoice date : 5-Jan-2023
Due date : 6-Jan-2023

Description Amount
Protection & Indemnity Insurance (MMIA-NZ)
For period 12 months (6-Jan-2023 to 5-Jan-2024) Full Annual Payment USD 1,400.00

Full Payment of due date : 6-Jan-2023 USD 1,400.00

Admin + Policy Cost USD 5
Exchange Rate Bank Danamon 1$ (US) to (IDR) Rp 15,726
Sub Total Rp 22,095,030

We shall not be liable for Insurers claim declinature due to your late payment or non-payment premium.
We "Thank You" for your continued business.