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PT KARYA USAHA BARU ex nana usana Banjaranyar RTO3! RW 02 Banjaranyar Sees Singkalan Kec Balongbendo Kab Sidoarjo NPWP No. 02. 297.974.7-602.000 [ INVOICE Kepaca PT. Pabrik Kertas Tyiwi Kimia Jin, Surabaya - Mojokerto KM 44 Mojokerto- Up . Bag Finance invoice ke 1100 % NoKW - ST9IKUBNXU2022 Service Order 71617154 Tanggal Invoice: 22 November 2022 Pekenaan Finishing PM 6 ( Bantu Packaging) Periode 01 -31 Maret 2022 Keterangan Jumiah [pan Borongan Rp Bi s6L aa IBPJS Ketenagakerjacn Rp 2.572.775 Tunjangan nan raya Rp 2.249.429 Management Fee Rp 1.383.066 Rp 37.561.845 Retensi (dist saat nal) Rp 37.561.845 Pengembalian Down Payment Rp 37.561.845 PPN 11% Rp. 152.139 Sub Total Rp 37.713.984 | Terbilang: Tiga puluhtuuh juta tujuh ratus tiga betas nbu semblan ratus delapan puiun empatrupia} ‘Sub Total Rp 7713084 PPh 23/26 Ri Pemotongan Claim [Jumiah Yang Dibayar [Rp 37-586:323 ] ‘Semva perbayaran dapat divayarkan melalui cash / transfer bank PT KARVA USAHA BARU Bank Sinarmas AIC | 0037816663 (al pr PABRIK KERTAS TJIWI KIMIA Tbk. Head Offce: Piaza Bll Menara Lt, 7, J. MM, Thamrin No. 51, Jakara 10390, INDONESIA Phone: (023) 3929268 - 68, Fax (021) 3626179, NPWP: 01.108.421.6-082.000 ‘Wisma Indah Kiat Gecung B Lt. 1, J. Raya Serpong KM 8, Tangerang 15310, Jawa Barat - INDONESIA Phone: (021) 63120001 -2, Fax: (021) 53120342 83120369, “Taw Kina Mil J. Raya Surabaya Maiokerio Km. 44, Desa Kramat Temenggung, Kecamatan Tark, Kab, Sioa, Jawa Timur Indonesia Phone: (0321)961882, Fax: (0321)361815, Tolax31121 Twi a KARYA USAHA BARU, PT Entry Sheet for Services Performed JL. GAJAH MADA, CANGGU, JETIS MOJOKERTO 61352 Indonesia Enuy Sheet NumbedDate 1001838297 / 16.11.2022 Tet 62-85745752777 Purchase order iterr/Date Fax 71617154/60 / 07.11.2022 [contact No/ Our person responsive Vendors person eeponsile / Endang Sri A PT. KUB Your vendor number win us 80000226 Work title Nan Power Lumpsum 3.2022 Inspector KARY Loc. service performed: Packaging Plan finish 31.03.2022 Your number : 71617154 Contract Value 72,843.115 ‘Your person responsible ; PT. KUB ‘Time period 01.03.2022 - 31.03.2022 GR 01-31 Maret 2022 ( PMG ) Acceptance of this sheet and the attachment is subject to the term and conditions on the back hereof which are incorporated and made a part hereof Curr, IDR Line Service Description Qty. Unit Unit price Not value 10 161001152 MPL, OPERATOR, SUPPORTING Plan.line 10 5,880 PAX 4.368.581 26.382.867 20 161000111 MPL, OVERTIME (LUMPSUM BASED) Plan.line 20 128,000 # 37.878 4,979,678 30 161000822 MPL, BPIS KESEHATAN Plan.line 40 4 act 174.743 717.900 40 161000823 MPL, BPUS KETENAGAKERJAAN Plan.line 50 € acr 38.880 239.597 50, 161000823 MPL, BPUS KETENAGAKERJAAN Plan.line 60 6 act 13.106 80.765 60 161000823 MPL, BPJS KETENAGAKERJAAN Plan.line 70 6 act 161.637 996.085 Ca PT PABRIK KERTAS TJIWI KIMIA Tbk. Head Ofice: Plaza Bl Menara 2 Lt 7, J. M.H. Thernrin No. $1, Jakerta 10350, INDONESIA, Phone: (021) 3929266 -68, Fax ((21) 3925179, NEWP. 01.108.421.6-092.000 (Wisma Indah Kist Gedung B Lt. 1, J Rays Sarrong KM 8, Tangerang (5310, Jawa Barat - INDONESIA Phone: (021) 53120001 - 2, Fax: (021) 53120342 -§3120946 “Twi Kimia Mil J. Raya Surabaya Mojokerto Km. $4, Dess Kramat Temenggung, Kecamstan Tank, Kab Sioaro, Jawa Timur - Indonesia Phone: (0321)361852, Fax (0321)381615. Telex 31121 Tjwlia KARYA USAHA BARU, PT Service enty sheetDate JL. GAGAH MADA, CANGGU, JETIS 1001838297 / 16.11.2022 MOJOKERTO 61352 Indonesia 70 161001295 MPL, BIAYA PENSIUN Plan.line 80 6 PAX 87.372 538.428 80 161000824 MPL, THR Plan.line 90 6 ACT 364.048 2.243.439 90 161000110 MPL,MANAGEMENT FE Plan.line 100 5,879 ACT 229.056 1.383.086 Tot. net value excl. tax IDR 37. 561.845 ¥ This is to certify that the work has been completed on, The following conditions are fulfiled* ~ All jobs have been done according to the requirement. - All deficiencies found have been repaired. - Working area has been cleaned from tools, leftover materials and wastes, We agree torelease: —_[ final payment [ | guarantee retension [ ] term payment Authorized signature, Co Ue (Name > 5 Section Chief ‘General note ~ (*] only inal acceptance required fr user acknowledgement (inal payment/rleate guarantee rot )

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