PT DAGANG EMAS MULIA

Menara Palma, 17th Floor, Suite 17-02B, JL.H.R Rasuna Said Blok X2 Kav. 6
, JAKARTA, Jakarta Indonesia
Tel: Fax:
E-mail: enquiry@publicgold.co.id Website: www.publicgold.co.id
(GST Reg No : )

Tax Invoice

Doc No : 661 A/C Code : PG00928737

Date : 2023-05-15 Dealer : TJARNESIH
Customer : TJARNESIH Email : tjarnesih2@gmail.com
Attn : TJARNESIH
Tel : 081222023442 Revenue Branch: Bandung (BDU-268)

Line Tax Code Item Description Qty Gold Amount (IDR)

Withdrawed Premium
(Pieces)

1 ES PGI0005 PUBLIC GOLD BULLION BAR 5 GRAM (AU 999.9) 1 30,000 30,000

Total Amount (IDR) : 30,000

SST Payable (IDR) : 0
Total Payable Inclusive Tax (IDR) : 30,000

Sold By : PT DAGANG EMAS MULIA

 Delivery Order

Doc No : 661 A/C Code : PG00928737

Date : 2023-05-15 Dealer : TJARNESIH
Customer : TJARNESIH Email : tjarnesih2@gmail.com
Attn : TJARNESIH
Tel : 081222023442 Revenue Branch: Bandung (BDU-268)

Line Item Description Item Weight Qty Total

(g) Withdrawed Weight (g)

1 PGI0005 PUBLIC GOLD BULLION BAR 5 GRAM (AU 999.9) 5.0000 1 pieces 5.0000
Serial No : IP000119

2 PA0001 GOLD ACCUMULATION PROGRAM - GAP (AU 999.9) 1.0000 - 5.0000 - 5.0000

I hereby certified that I have received the gold items and the certificate in good condition and I have checked the gold items purity, weight and other
specifications and it is accurate as per the Delivery Order.

Sold By : PT DAGANG EMAS MULIA Goods Received By: Thumb Print & Signature :

--------------------------------------------------------------- -----------------------------------------------------------
Name : Tjarnesih

IC No : 3174075409710002

Date : 15-5-23

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