--

ai~ INDOPELITA
KERJASAMA OPERASI
PT. INDOPELITA AIRCRAFT SERVICES &
PT. JEFCO AERO TEKNOlOGI
Hangar IV Bandara Udara Pondok Cabe Ciputat 15418 Indonesia

INVOICE
Number : 011a/KSO.lAS-JAT/INV/XI/2020

Date ; 17 Nopember 2020

Customer Reff : SOA-012/PK-CLH/XI/2020

PT.Sriwijaya Air Date Quotation : 12 Nopember 2020

Jakarta Work Insp ; 1229jTSPNIII/20/B737-S00

No Description Qty Price Jumlah

1 Cabin Refurbishment Package 1 150,000,000 Rp 150,000,000.00

Check PK-CLH

Total Rp 150,000,000

Seratus Lima Puluh Juta Rupiah

KSO-JEFCO AERO T-INDOPELITA AIRCRAFT S Your Faithfuily,

Bank Mandiri

Cabang Tangerang

No Rek : 155-00-11.202-218
 SALES ORDER AMENDMENT
SOA-012/PK-CLHIX1I2020

Amendment to some Work Orders related to cabin refurbishment:

DESCRIPTION TOTAlMHRS MHRSRATE TOTAL (IDR)

Cabin
PACKAGE PACKAGE 150,000,000.00
Refurbishment I
(One hundred and fifty million rupiah)

C-Check Work Order No. 12291TSPN1I1/20/8737-500

Date Issued 12 November 2020

Issued by Approved by
KSM IAS-JEFCO PT. SRIWIJAYAAIR
~- VP. Technical Services

SLAMET SUPRIYANTO IMAN SAJIDIN

 WORK ORDER
W/O No. 1229rrSPNllli20/B737-500 PRIORITY URGENT 06 Aug 1020

! PK - CLH / MSN.17330
--_. . ..•.
"_ ~." .••__"_. """
_._L,_".." _+-----JOU:U'.IO..-

AIRCRAFT REG.

WORK UNIT lIAS

TYPE Of WORK:
PLEASE PERFORM COSPHASE CHECK, AD's I S8's , HT, AOSPHASE. STC. EA, ADOIll0NAL AND OTHER
WORK DUE TO SCHEDULED.

t---------------------,---------------_-I
ACTION TAKEN: {>¬ ;;({~ (..01; - ~AC;£ (.\{e~, M)'~/S'-:>s, ttr AO~-fttASt, I srr, • EA ,
I\t)OtnO\VA L ~NP C!i~ jNOI'ttl OUe"tO Sc..t"\EtlV-lE-t> t\~ ~cCf..J CMtF-tc-o
1----,,---- bUT

RESULT : ~A't"\Stt~. St'£ p-,\ t-\o \1 Ifl.Ts./s/tFtS /201.0 .J.

p.:.n No \1a(P-T f. ( <; / IAS
( U:J 1-0
Part No. -,r--pa~rt--N-o·~I------·------------
Off On I
Serial No.
Off
S.T.A
- Serial No.
On
I
.

SIGN COM PL.

Jakarta,01-Aug-2020
SM Mainten$ln<;e Planning

~
( Ricky I. Pardede

Form TP.Q57R I (Jun 2019)

 PT. INDOPELIT A AIRCRAFT SERVICES
Hangar IV Pondok Cabe Ciputat 15418
INDOPELITA AMO 145D -168

RETURN TO SERVICE
No : 17/RTS/S/IAS/2020

The C06-Check, AD's/SB's, HT, STC, EA & Additional has been carried out on aircraft
8737-524/ PK - CLII operated by Sriwijaya Air at aircraft hours 65,414. FH / 40245
i Cycle date December 12, 2020 in accordance with current Regulation of the DGCA and is
I
i
approved for return to service.

I-~ ------.-,.---.- .• -,~. ----------------_._------------1

With remarks: NIL

._------_--------_----
It is hereby certified that the work mentioned is carried out in accordance with the requirements
pursuant to the specification. Pertinent details of the repair are on file at this Approved
Maintenance Organizations (AMO) under:

Order No. P02 -803

Date December 12, 2020

Certifying Staff BUDIUANTO

Stamp.

Signed/Lie. No.

Form: Q&SHE-FRM-17-01lREV.OO/t411I7
•

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PT. L\DOpr~LITA AIRCRAfT SERVICES
Han!.!,.Ii'I\ I'undok ( ahe Ciput.lI 1:'...,8
INDOPELITA \\10 1·,1':;1)
- IllS

RETURN TO SERVICE
No : 17aJRTS/S/I.\S/202U

[he AIIS-Ch('ck has been (~lI'Tl\:dou: 011 .urcr.n: W:'3~-:=;H! PK ,CLlI operated b) Sri\\ijala
.\ir at aircrutt hours 65,"''''. nIl "'HH:OiC, cit, Uk December 12,2020 in accordance with

.------i
With remarks: 1\ I L i
I
I
iI
i
i!

,..____
. .",---.-,."
..-..- ---i
It is hereby certified that the work mentioned is carried out in accordance with the requirements
pursuant to the specification. Pertinent derails \)1' the repair are on file at this Approved
I
\1aimCl1a1KC Organizations (;\\10) und ...r: I

Order No.
I
I

Date I
, ('crtif: iug Staff BUDHI AN'l () I
"lamp,

, Signed l.ic. No.

Form: Q&SIIE-FR\I-17 -01 !fU:V, 00 J -t 1117

,
l
 CABIN DEFECT PK-CLH

No. Item Name Area Position P/N S/N Qty Discrepancy Picture

Service 10-1073-
1 Cover Exit Sign AFT N/A 2 assy Bad condition
door 103K

2 Lavatory E Wall List AFT Lav. E 1 Bad condition

3 Floormat AFT - 1 Bad condition

AFT/ 72914 ASSY

4 Cover light Ceiling 3 Bad condition
FWD 11-5950-1
5 Bulb fitting AFT Ceiling 60-4162 8 ea Broken

Att. & FO Broken (2 ea); Missing (1

6 Crew seat spring AFT 3 ea
seat ea)
 AFT/
7 Airgrill Ceiling 69-43230-5E 3 ea Broken (2 ea); Dirty (3 ea)
FWD

8 Galley paint AFT Galley 1 Peeled off

 Near Lav.
9 Ceiling AFT 1 Peeled off
D (LH)

Entry Bad condition (Stud 220

10 Rubber seal AFT N/A N/A 1
Door missing 5 ea)

Exit sign bulb cover (orange

11 AFT Ceiling N/A N/A 1 ea Missing
color)
 Lav. D;
12 Lavatory PSU AFT 417n3810-12 2 assy Peeled off
Lav E

Lav. D;
13 Handle AFT 6 ea Peeled off
Lav. E
14 Mirror light cover AFT Lav. D N/A N/A 1 Broken

15 Ashtray AFT Lav. D N/A N/A 1 Broken

16 Lavatory Latch AFT Lav. E 1 Broken

 64769-001-
17 Coffee maker CAB Galley 4 130044 1 Unserviceable
005

18 Luggage bin CAB 1 LH 1 assy Scratch/Peeled off , Dirty

19 Luggage bin CAB 1 RH 1 assy Peeled off

20 Luggage bin door CAB 1 RH 1 assy Scratch/Peeled off, Dirty

21 Luggage bin CAB 2-3 LH 1 assy Scratch/Peeled off , Dirty

22 Luggage bin door CAB 2-3 LH 1 assy Scratch/Peeled off, Dirty

23 Luggage bin CAB 2-3 RH 1 assy Scratch/Peeled off, Dirty

24 Luggage bin door CAB 2-3 RH 1 assy Scratch/Peeled off, Dirty

25 Luggage bin CAB 4-5 LH 1 assy Scratch/Peeled off, Dirty

26 Luggage bin CAB 4-5 RH 1 assy Scratch/Peeled off, Dirty

27 PSU CAB 5 LH 1 assy Bad condition

28 Numbering list CAB 6 LH 1 ea Spared

29 Luggage bin CAB 6-7 LH 1 assy Scratch/Peeled off, Dirty

30 Luggage bin CAB 6-7 RH 1 assy Scratch/Peeled off, Dirty

31 Luggage bin CAB 8-9 LH 1 assy Scratch/Peeled off, Dirty

32 Luggage bin CAB 8-9 RH 1 assy Scratch/Peeled off, Dirty

33 Luggage bin CAB 10 RH 1 assy Scratch/Peeled off, Dirty

34 Luggage bin door CAB 10 RH 1 assy Peeled off

35 Luggage bin CAB 11 LH 1 assy Scratch/Peeled off, Dirty

36 Luggage bin door CAB 11 RH 1 ea Bad condition

37 Luggage bin CAB 12-15 LH 1 assy Scratch/Peeled off, Dirty

38 Luggage bin CAB 12-15 RH 1 assy Scratch/Peeled off, Dirty

39 Luggage bin CAB 16-17 LH 1 assy Scratch/Peeled off, Dirty

40 Luggage bin CAB 16-17 RH 1 assy Scratch/Peeled off, Dirty

41 Luggage bin door CAB 18 LH 1 ea Bad condition

42 Luggage bin CAB 18-19 LH 1 assy Scratch/Peeled off, Dirty

43 Luggage bin CAB 18-19 RH 1 assy Scratch/Peeled off, Dirty

44 Luggage bin CAB 20-21 LH 1 assy Scratch/Peeled off, Dirty

45 Luggage bin CAB 20-21 RH 1 assy Scratch/Peeled off, Dirty

46 Luggage bin door CAB 20 RH 1 assy Peeled off

47 Luggage bin door CAB 22 RH 1 assy Peeled off

48 Placard CAB 22 LH N/A N/A 4 ea Bad condition

49 Trim bullnose door CAB 7 LH 1 ea Spared; Peeled off

Em. Exit
50 Emergency exit sign placard CAB door LH/ N/A N/A 2 ea Bad condition
RH

PSU call light cover (12 LH, 16

51 CAB PSU N/A N/A 4 ea Missing
LH, 19 RH, 22 RH)

52 Rubber seal coat room CAB Galley 1 1 ea Missing

 Em. exit
53 Emergency exit door handle CAB 65C36734-2B 2 assy Loose
LH & RH

54 Rubber seal coat room FWD Galley 2 1 ea Missing

Em. Exit 65C33294-

55 Emergency exit light CAB 2 ea Bad condition
LH & RH 1BB

Em. Exit
56 Bolt cover CAB N/A N/A 1 ea Missing
LH
57 Grill FWD 1 ea Broken

Entry
58 Scufflet FWD 1ea Bad condition
door

Service
59 Scufflet FWD 1 ea Bad condition
door

Co-pilot
60 Cockpit crew handle CP 1 ea Broken
side
61 Waste placard FWD Galley 1 ea Dirty

Captain
62 Cockpit seat back cover CP 1 ea Broken
side

63 Oven FWD Galley 1 1 ea Peeled off

 Cockpit
64 Placard FWD 1 ea Bad condition
door

Cockpit
65 Placard FWD 1 ea Bad condition
door

Cockpit
66 Placard FWD 1 ea Bad condition
door

67 Wall CP FO seat 1 ea Peeled off

 Cockpit
68 Placard 1 ea Bad condition
door

Co-pilot
69 Ceiling CP 1 ea Broken
side

70 Curtain track FWD 1 ea Bad condition

 Missing (1 ea); Broken (1
71 ? CP 2 ea
ea)

72 Smoke detector CP 1 ea Broken

73 Placard CP 2 ea Peeled off

74 Shroud lavatory FWD Lav. A 1 ea Peeled off

75 Fairing panel FWD Lav. A 1 ea Peeled off

76 Placard FWD Lav. A 1 ea Bad condition

77 Hanger FWD Lav. A 1 ea Broken

APU/Engine Light Panel

78 CP 3 ea Peeled off
marking
 Attendant
79 Velcro FWD 1 ea Broken
seat

80 Wall CP FO seat 1 ea Dirty

81 Paper panel FWD Lav. A 1 ea Peeled off

Near
82 Wall CP cockpit 1 ea Scratch
door
83 Work light cover FWD Ceiling S417N502-9E 1 ea Bad condition

84 Work light bulb FWD Ceiling 1 ea Missing

Captain
85 Ventilation CP 1 ea Peeled off
side
 Peeled off; Needs safety
86 Floor CP All
walk

87 Footrest CP 1 ea Bad condition

Behind
88 PBE box CAB 1 ea Broken
row 23 LH

89 Mirror light cover FWD Lav. A 1 ea Peeled off

 Attendant
90 Crew panel FWD 1 ea Broken; Peeled off
seat