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 161.637 996.085Ca 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 )