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PT Pertamina Patra Niaga

22221206230145

SERVICE ACCEPTANCE FROM PAYMENT APPROVAL INVOICE NO : 005_PTCMP_VI_2023


PT. CAHYA MEGAH PENYIMBANG COMPANY CODE : 2222 INV DATE : 09.06.2023 INVOICE DUE DATE :
PERUM BUKIT SEJAHTERA BLOK AL-10 PALEMBANG PLANT : 21XX COPY NO : 01 PAYMENT METHOD : Bank Transfer

VENDOR NO SERVICE ACCEPTANCE NUMBER / DOCUMENT NUMBER


400921 1002644943 ;

DOCUMENT DATE
04.06.2023
PO SERVICE NUMBER
3950264015
DESCRIPTION :
TRANSACTION INFO: RETENTION = IDR 0,00 DENDA(PENALTY) = 0,00
PEMBAYARAN TRANSPORT FEE AGEN LPG 3 KG
PERIODE MEI 2023 Retention Due Date :

SA Number Item Service No UOM Description Ordered Received Unit Price Value Curr.
Quantity Quantity
- Automatic Generation - Freight
1002644943 1 AU - 5000732931 1 1 22.640.218,00 22.640.218,00 IDR
GL : 6001005110 PRODUCT
INTERNAL TRANSPORT - MT
CC : 2222I52237

Total Net Order Exclude Tax 22.640.218,00 IDR

Person In Charge For This Transaction We the undersigned hereby certify that the particulars of transaction in We confirm our acceptance of the terms and conditions here in started
Name : this document are valid and accurate to be paid and comply with Prinsip
Dasar Integritas Perusahaan & Prinsip GCG as stated in Code of Signature :SAM Retail Sumsel
CESARIO FARHAN ALI AHMADI
Conduct PT Pertamina(Persero). Related documents not attache in this
document will be kept by us referring to company policies and will be
made available if required. Name :Sadli Ario Priambodo
Email : Date :12.06.2023
cesario.ahmadi@pertamina.com This document is declared vaild without the signature of the authorities, approved via
the MySSC application with ticket number REQ000004462215

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