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PT.

ARTA NAARGA PERSADA


Cabang Panjang - Bandar Lampung
Jl Selat Malaka 3, Gg Kiter 1 NO 42 A, KP Teluk Harapan Kecamatan Panjang Selatan,
Bandar Lampung 35243 / Email : support@artanaargapersada.com

Date : 05 September, 2023


Port : Tarahan, Bandar Lampung
Subject : TB. MARINO 178/BG. PEGASUS 2

Messrs,
PT. BUKIT ASAM TBK
Tarahan – Bandar Lampung
Indonesia

NOTICE OF READINESS
Dear Sirs,

This is to notify that the above mention subject vessel has arrived at Port of Loading Tarahan,
Bandar Lampung, Indonesia, at 07:15 hours on September 05, 2023 and she is ready in all
respect to Commence Loading cargo in accordance with the terms and condition of the
Charter Party.

NOR TENDERED : at 07:15 hours on September 05, 2023

NOR ACCEPTED : at 01:05 hours on September 10, 2023

Yours Faithfully,
Master of TB. MARINO 178 PT. BUKIT ASAM TBK,

Capt. Mohamad Hamka

PT. ARTA NAARGA PERSADA


As Agent

Angele Noviana
Branch Manager
We, the undersigned, do hereby jointly certify to the effect that the information
relating to the shipment of coal described below is true and correct and that the
shipment of coal was exclusively mined from the coal mine with the name of Tanjung
Enim with the registered address of Jalan Parigi No.1 Tanjung Enim, Sumatera Selatan
Indonesia which is owned/operated by the undersigned Coal Mine Owner/Coal Producer.

Vessel Name : TB. MARINO 178 / BG. PEGASUS 2


Shipped From : Tarahan, Bandar Lampung
Destination : PLTU LONTAR
B/L Number : 040/ANP-TRH/IX/2023
B/L Dated : 12 September 2023
B/L Weight : 7,393.147 MT

(1). Coal Mine Owner/Coal Producer :


Company Name : PT. Bukit Asam Tbk

Signed by on behalf of :
Name : Ketut Sukra Yadnya
Title : Assistant Vice President Operasi
Date : 12 September 2023

(2). Seller
Company Name : PT. Bukit Asam Tbk

Signed by on behalf of :
Name : Ketut Sukra Yadnya
Title : Assistant Vice President Operasi
Date : 12 September 2023

PT Bukit Asam Tbk

Tanjung Enim Jakarta Ombilin Padang Tanjungkarang Kertapati


Sumatera Selatan, Indonesia Setiabudi Building II, 5th floor Sawahlunto Jl. Tanjung Periuk No. 1 Jl. Raya Bakauheni KM. 15, Tarahan Jl. Stasiun Kereta Api, Palembang
Telephone (0711) 311104; 310005 Jl. H.R. Rasuna Said, Kuningan Sumatera Barat, Indonesia Teluk Bayur Sumatera Barat, Bandar Lampung, Indonesia Sumatera Selatan, Indosesia
(0734) 51202; 51206 Jakarta 12920, Indonesia Telephone (0754) 61021 Indonesia Telephone (0721) 31545; 31686 Telephone(0711) 512617
Facsimile (0734) 51095; 51099 Telephone (021) 5254014 Facsimile (0754) 61402 Telephone (0751) 62522; Facsimile (0721) 31577 Facsimile (0711) 511388
Facsimile (021) 5254014; 5200067 63522; 31996
Facsimile (0751) 63533
TATA LAKSANA No. Dok. : BAMSF : PTRH :
PENANGANAN BATUBARA 8.5.1 :01:12
TANDA PENGELUARAN BATUBARA No. Revisi : 4
Halaman : 1 dari 1
(COAL RECEIPT FORM)

NOMOR/NUMBER : 828 EXP.IX.2023

UNTUK/FOR : PEMAKAIAN SENDIRI/PENGANGKUTAN/PENJUALAN (FOR OWN USE/HAULING/SALE) )*

DITERIMA OLEH/RECEIPT BY : KAPAL/TONGKANG/TRUK (VESSEL/BARGE/DUMP TRUCK) )*

DARI/FROM : PELABUHAN TARAHAN (TARAHAN COAL TERMINAL)

NAMA (NAME) TUJUAN BATUBARA (COAL) VOLUME


KAPAL/TONGKANG/TRUK (DESTINATION) JENIS SPESIFIKASI (TONNAGE)
(VESSEL/BARGE/DUMP TRUCK) (BRAND) (SPECIFICATION) (M/T)

BG. PEGASUS 2 PLTU LONTAR INDONESIAN STEAM COAL IN BULK 7,393.147

BATUBARA YANG TERSEBUT DIATAS DITERIMA OLEH (THE COAL MENTIONED ABOVE HAVE BEEN ACCEPTED BY) :
PEMBELI/NAHKODA/SOPIR (BUYER/MASTER/DRIVER)

CATATAN (NOTE) :

YANG MEMUAT (SHIPPER)


MANAJER OPERASI (OPERATIONAL MANAGER) Tarahan 12 September 2023

Ketut Sukra Yadnya


NP. 6993130465 PEMBELI/NAHKODA/SOPIR (BUYER/MASTER/DRIVER)

)* CORET YANG TIDAK PERLU (DELETE AS APPROPRIATE)

Asli (Original) : Shipper


Copy 1 : Buyer .
Copy 2 : Perbendaharaan & Pendanaan
Copy 3 : Pemasaran Batubara
Laporan Hasil Verifikasi (LHV)
Untuk Pengangkutan dan Penjualan Batubara

No. LHV : 27.12.0.23.00957

A. Penjual Batubara

Jenis Perusahaan Nama Perusahaan No. & Tgl Surat Keputusan Alamat Kantor

PT BUKIT ASAM (PERSERO) Jl. Parigi No. 1 Tanjung Enim Kab Muara Enim -
IUP PUSAT
TBK Sumatera Selatan
Nama Produk Tambang BATUBARA

B. Pelabuhan

Pelabuhan Muat : TARAHAN, LAMPUNG


Pelabuhan Bongkar : PLTU LONTAR

C. Pembeli Batubara

Nama Pembeli : PT PLN (PERSERO) (End User)

D. Kapal Angkut

Nama Vessel : -
Barge dan Tug Boat : BG. PEGASUS 2 , TB. MARINO 178

E. Dokumen Verifikasi

Total Muat : 7.393,1470 Ton


Nomor Tanda Penerimaan Negara : 0F5912G4VGMKL36A

Petugas Survey
12 September 2023

ORIGINAL

Rizki Pratama

PT SUCOFINDO © 2023 - All rights reserved.


12 September 2023 16:47:43
BUKTI PENERIMAAN NEGARA
PENERIMAAN NEGARA BUKAN PAJAK (PNBP)
DIREKTORAT JENDERAL MINERAL DAN BATUBARA

FAKTUR BUKTI BAYAR

Data Pembayaran Tagihan :


Kode Billing : 820230905236682
Tanggal Billing : 05-09-2023 13:21:27 WIB
Trx ID : 202309058912458965
Tanggal Kedaluwarsa : 12-09-2023 13:21:42 WIB
Perusahaan : BUKIT ASAM TBK
WIUP : 3116033032014059
Tanggal Faktur : 05-09-2023 18:36:05 WIB
Nomor Faktur : 66610/82.05-IPB/DBN-IUP/IX/2023
Channel Bayar : Overbooking
Bank Persepsi : BANK MANDIRI
Tanggal Bayar : 05-09-2023 18:33:02 WIB
NTB : 988311723821
NTPN : 0F5912G4VGMKL36A
Total Transaksi : 471.750.000 (IDR)
Penggunaan Kompensasi Lebih Bayar : 0 (IDR)
Total Dibayarkan : 471.750.000 (IDR)

Detail Pembayaran Tagihan :


Kode Transaksi : IPPB/34330/2023
Keterangan : ROYALTI PROVISIONAL BATUBARA
Produk Komoditas : Batubara Open Pit
Lokasi Izin : Kab. Muara Enim - Sumatera Selatan
Tanggal Rencana Pengapalan : 19-09-2023
Volume : 7.500,00 Ton

Kode Akun : 421331


Keterangan : Pembayaran Royalti Provisional
Tarif Royalti : 8.5 %
Hasil Royalti : 471.750.000
Penggunaan Kompensasi Lebih Bayar : 0
Setor Royalti : 471.750.000

---o00o---
Tanda Bukti Setor/Bukti Penerimaan Negara (BPN) yang di dalamnya tercantum Nomor Transaksi Penerimaan Negara (NTPN) adalah dokumen sah
yang merupakan bukti bahwa Anda telah melakukan pembayaran ke Kas Negara. Terima kasih atas kepercayaan anda menggunakan EPNBP
MINERBA

Tanggal Cetak 2023:09:05 20:31:45 EPNBP MINERBA


PT. ARTA NAARGA PERSADA
SHIPPING AGENCY SERVICES

CODE NAME : CONGEN BILL "EDITION 1994" BILL OF LADING


Shipper 040/ANP-TRH/IX/2023

FIRST ORIGINAL
PT. BUKIT ASAM Tbk.
Menara Kadin Indonesia 15th Floor
Jl. H.R. Rasuna Said Blok X-5 Kav 2 and 3
Jakarta 12950 Indonesia

Consignee
PLTU LONTAR

Notify Address

PLTU LONTAR

Vessel / Voyage
TB. MARINO 178/BG. PEGASUS 2

Port Of Loading Port Of Discharging


PT. BUKIT ASAM - Tarahan PLTU LONTAR

Shipper's description of goods Gross Weight


COAL IN BULK 7,393.147 MT

" FREIGHT PAYABLE AS PER CHARTER PARTY "

CLEAN ON BOARD

( Of which on deck at shippers risk : the Carrier being not responsible for loss or damage howsoever arising )

Fright payable as per SHIPPED at the port of loading in apparent good order and conditon on the vessel carriage to the
CHARTER PARTY dated …………………………………. Port of Discharges or so near thereto as the Vessel may safety get the good specified above

FREIGHT ADVANCE, Weight, measure, quality, condition, contents and value unknown.
Received account of Freight :
IN WINTNESS whereof the Master or Agent of the said Vessel has signed the number of Bills
………………………………………………………… of Lading indicated below all of this tenor and dated, any one of which being accomplished the
Time used for loading………..days………hours others shall be void.
FOR CONDITION OF CARRIAGE SEE OVERLEAF.

Freight payble at Place and date of issue B/L


Panjang - Bandar Lampung, 12 September, 2023

Number of Original B/L Signed for and on behalf


Capt. Mohamad Hamka
Master Of TB. MARINO
3 (THREE)
1/3

PT. ARTA NAARGA PERSADA


As Agent
PT. ARTA NAARGA PERSADA
SHIPPING AGENCY SERVICES

CODE NAME : CONGEN BILL "EDITION 1994" BILL OF LADING


Shipper 040/ANP-TRH/IX/2023
PT. BUKIT ASAM Tbk.
Menara Kadin Indonesia 15th Floor SECOND ORIGINAL
Jl. H.R. Rasuna Said Blok X-5 Kav 2 and 3
Jakarta 12950 Indonesia

Consignee
PLTU LONTAR

Notify Address

PLTU LONTAR

Vessel / Voyage
TB. MARINO 178/BG. PEGASUS 2

Port Of Loading Port Of Discharging


PT. BUKIT ASAM - Tarahan PLTU LONTAR

Shipper's description of goods Gross Weight


COAL IN BULK 7,393.147 MT

" FREIGHT PAYABLE AS PER CHARTER PARTY "

CLEAN ON BOARD

( Of which on deck at shippers risk : the Carrier being not responsible for loss or damage howsoever arising )

Fright payable as per SHIPPED at the port of loading in apparent good order and conditon on the vessel carriage to the
CHARTER PARTY dated …………………………………. Port of Discharges or so near thereto as the Vessel may safety get the good specified above

FREIGHT ADVANCE, Weight, measure, quality, condition, contents and value unknown.
Received account of Freight :
IN WINTNESS whereof the Master or Agent of the said Vessel has signed the number of Bills
………………………………………………………… of Lading indicated below all of this tenor and dated, any one of which being accomplished the
Time used for loading………..days………hours others shall be void.
FOR CONDITION OF CARRIAGE SEE OVERLEAF.

Freight payble at Place and date of issue B/L


Panjang - Bandar Lampung, 12 September, 2023

Number of Original B/L Signed for and on behalf


Capt. Mohamad Hamka
Master Of TB. MARINO
3 (THREE)
2/3

PT. ARTA NAARGA PERSADA


As Agent
PT. ARTA NAARGA PERSADA
SHIPPING AGENCY SERVICES

CODE NAME : CONGEN BILL "EDITION 1994" BILL OF LADING


Shipper 040/ANP-TRH/IX/2023

THIRD ORIGINAL
PT. BUKIT ASAM Tbk.
Menara Kadin Indonesia 15th Floor
Jl. H.R. Rasuna Said Blok X-5 Kav 2 and 3
Jakarta 12950 Indonesia

Consignee
PLTU LONTAR

Notify Address

PLTU LONTAR

Vessel / Voyage
TB. MARINO 178/BG. PEGASUS 2

Port Of Loading Port Of Discharging


PT. BUKIT ASAM - Tarahan PLTU LONTAR

Shipper's description of goods Gross Weight


COAL IN BULK 7,393.147 MT

" FREIGHT PAYABLE AS PER CHARTER PARTY "

CLEAN ON BOARD

( Of which on deck at shippers risk : the Carrier being not responsible for loss or damage howsoever arising )

Fright payable as per SHIPPED at the port of loading in apparent good order and conditon on the vessel carriage to the
CHARTER PARTY dated …………………………………. Port of Discharges or so near thereto as the Vessel may safety get the good specified above

FREIGHT ADVANCE, Weight, measure, quality, condition, contents and value unknown.
Received account of Freight :
IN WINTNESS whereof the Master or Agent of the said Vessel has signed the number of Bills
………………………………………………………… of Lading indicated below all of this tenor and dated, any one of which being accomplished the
Time used for loading………..days………hours others shall be void.
FOR CONDITION OF CARRIAGE SEE OVERLEAF.

Freight payble at Place and date of issue B/L


Panjang - Bandar Lampung, 12 September, 2023

Number of Original B/L Signed for and on behalf


Capt. Mohamad Hamka
Master Of TB. MARINO
3 (THREE)
3/3

PT. ARTA NAARGA PERSADA


As Agent
PT. ARTA NAARGA PERSADA
SHIPPING AGENCY SERVICES

CODE NAME : CONGEN BILL "EDITION 1994" BILL OF LADING


Shipper 040/ANP-TRH/IX/2023
PT. BUKIT ASAM Tbk.
Menara Kadin Indonesia 15th Floor
COPY NON NEGOTIABLE
Jl. H.R. Rasuna Said Blok X-5 Kav 2 and 3
Jakarta 12950 Indonesia

Consignee
PLTU LONTAR

Notify Address

PLTU LONTAR

Vessel / Voyage
TB. MARINO 178/BG. PEGASUS 2

Port Of Loading Port Of Discharging


PT. BUKIT ASAM - Tarahan PLTU LONTAR

Shipper's description of goods Gross Weight


COAL IN BULK 7,393.147 MT

" FREIGHT PAYABLE AS PER CHARTER PARTY "

CLEAN ON BOARD

( Of which on deck at shippers risk : the Carrier being not responsible for loss or damage howsoever arising )

Fright payable as per SHIPPED at the port of loading in apparent good order and conditon on the vessel carriage to the
CHARTER PARTY dated …………………………………. Port of Discharges or so near thereto as the Vessel may safety get the good specified above

FREIGHT ADVANCE, Weight, measure, quality, condition, contents and value unknown.
Received account of Freight :
IN WINTNESS whereof the Master or Agent of the said Vessel has signed the number of Bills
………………………………………………………… of Lading indicated below all of this tenor and dated, any one of which being accomplished the
Time used for loading………..days………hours others shall be void.
FOR CONDITION OF CARRIAGE SEE OVERLEAF.

Freight payble at Place and date of issue B/L


Panjang - Bandar Lampung, 12 September, 2023

Number of Original B/L Signed for and on behalf


Capt. Mohamad Hamka
Master Of TB. MARINO
3 (THREE)
1/3

PT. ARTA NAARGA PERSADA


As Agent
PT. ARTA NAARGA PERSADA
SHIPPING AGENCY SERVICES

CABANG PANJANG - BANDAR LAMPUNG


Jl. Selat Malaka 3 Gg. Kiter 1 No.42A
Kp. Teluk Harapan, Panjang Selatan
Bandar Lampung 35243

CARGO MANIFEST FIRST ORIGINAL


Name of Vessel : TB. MARINO 178/BG. PEGASUS 2 Name Of Master : Capt. Mohamad Hamka
Flag : Indonesia Port Of Loading : PT. BUKIT ASAM - Tarahan
Date Of Departure : Panjang - Bandar Lampung, 12 September, 2023 Port Of Discharge : PLTU LONTAR

B/L Number SHIPPER CONSIGNEE / NOTIFY ADDRESS SHIPPER'S DESCRIPTION OF GOODS GROSS WIGHT

040/ANP-TRH/IX/2023 PT. BUKIT ASAM Tbk. CONSIGNEE COAL IN BULK 7,393.147 MT


Menara Kadin Indonesia 15th Floor PLTU LONTAR " FREIGHT PAYABLE AS PER CHARTER PARTY "
Jl. H.R. Rasuna Said Blok X-5 Kav 2 and 3 CLEAN ON BOARD
Jakarta 12950 Indonesia NOTIFY ADDRESS
(Of Wich on deck at Shippers risk :
PLTU LONTAR The Carrier being not reponsible for loss or damage howsoever arising)

PT. ARTA NAARGA PERSADA


PANJANG BRANCH

Angele Noviana
As Agent

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