United Indo Surabaya - Basuki Rahmat ESTIMATION FORM

Menganti, Kelurahan Jajar tunggal, Kecamatan Wiyung, Surabaya Jawa Timur 60229 Bodyshop

NPWP: 01.730.951.9-618.001

CREATED BY : Hennu Pradipta Endrantoro DOC NO. : BSES/D/08/23/00026

MODEL : HAD0 - Datsun GO DOC DATE / TIME : 28-08-2023 12:00:00AM
LICENSE NO : L1876IE PAGE : 1 of 3
VIN / CHASSIS NO : MHBJ2CH2FJJ-028999
COLOR : Silver Metallic w/ Black Interior REQUEST BY : NOVIANTO DWI PRASETYO
CUSTOMER CODE : PN1801342 CONTACT PHONE NO.. : .
CUSTOMER NAME : NOVIANTO DWI PRASETYO REFERENCE DOC NO. :
ADDRESS : NGAGEL TIRTO 2/82
KEL.NGAGEL REJO KEC.WONOKROMO
DOCUMENT BATCH NO. : 8,775,126
SURABAYA
INSURANCE POLIS NO. :
PHONE NO :
MOBILE PHONE :
CLAIM NO. :
BILLABLE TO : PN1801342 INSURANCE PIC :
AGREEMENT NO. : PHONE NO. : 6281234901230
INSURANCE NAME : NOVIANTO DWI PRASETYO FAX NO. :
ADDRESS : NGAGEL TIRTO 2/82
KEL.NGAGEL REJO KEC.WONOKROMO
SURABAYA
REQUEST DESCRIPTION

NO. REQUEST DESCRIPTION

1 bumper depan PECAH
2 HEADLAMP KIRI PECAH
3 BRACKET BUMPER DEPAN KANAN DAN KIRI PECAH
4 PERBAIKAN DAN CAT FENDER DEPAN KIRI
5 GANTI AEROKIT TRISPLANG KIRI

Package BodyShop

SEQ. CODE NAME QTY PRICE TOTAL PRICE

1 BG-ZG1GC1-HAD0 PAINT & REPLACE FRONT BUMPER 1.00 616,000 616,000
2 BG-ZG3KC1-HAD0 PAINT & REPAIR FR BUMPER FRAME 1.00 374,000 374,000
3 BG-ZA1KC1-HAD0 PAINT & REPAIR FR FENDER 1.00 803,000 803,000

SUB TOTAL : 1,793,000

DISCOUNT : 0
TOTAL : 1,793,000

Parts

SEQ. CODE NAME QTY PRICE TOTAL PRICE

1 62022-8JA0H FASCIA-FRONT BUMPER 1.00 1,392,000 1,392,000
2 62224-4LA0A BRACKET-FRONT BUMPER SIDE,RH 1.00 82,500 82,500
3 62225-4LA0A BRACKET-FRONT BUMPER SIDE,LH 1.00 82,500 82,500
4 26065-8JA0A HOUSING ASSY-HEADLAMP,LH 1.00 482,000 482,000
5 01553-09321 CLIP 30.00 6,500 195,000
6 G6852-4LC4B SIDE SILL PROTECTOR LH SILVER 1.00 1,390,000 1,390,000

SUB TOTAL : 3,624,000

DISCOUNT : 0
TOTAL : 3,624,000
United Indo Surabaya - Basuki Rahmat ESTIMATION FORM
Menganti, Kelurahan Jajar tunggal, Kecamatan Wiyung, Surabaya Jawa Timur 60229 Bodyshop

NPWP: 01.730.951.9-618.001

CREATED BY : Hennu Pradipta Endrantoro DOC NO. : BSES/D/08/23/00026

MODEL : HAD0 - Datsun GO DOC DATE / TIME : 28-08-2023 12:00:00AM
LICENSE NO : L1876IE PAGE : 2 of 3
VIN / CHASSIS NO : MHBJ2CH2FJJ-028999
COLOR : Silver Metallic w/ Black Interior REQUEST BY : NOVIANTO DWI PRASETYO
CUSTOMER CODE : PN1801342 CONTACT PHONE NO.. : .
CUSTOMER NAME : NOVIANTO DWI PRASETYO REFERENCE DOC NO. :
ADDRESS : NGAGEL TIRTO 2/82
KEL.NGAGEL REJO KEC.WONOKROMO
DOCUMENT BATCH NO. : 8,775,126
SURABAYA
INSURANCE POLIS NO. :
PHONE NO :
MOBILE PHONE :
CLAIM NO. :
BILLABLE TO : PN1801342 INSURANCE PIC :
AGREEMENT NO. : PHONE NO. : 6281234901230
INSURANCE NAME : NOVIANTO DWI PRASETYO FAX NO. :
ADDRESS : NGAGEL TIRTO 2/82
KEL.NGAGEL REJO KEC.WONOKROMO
SURABAYA

NOTES : SUB TOTAL : 5,417,000

1. ESTIMASI TIDAK MENGIKAT DAN SEWAKTU-WAKTU DAPAT BERUBAH
2. BEBERAPA ITEM PART BELUM BISA DIESTIMASI SEBELUM DILAKUKAN PEMBONGKARAN PRICE BEFORE VAT : 5.417.000
3. MASA BERLAKU ESTIMASI " N " HARI DARI TANGGAL DIKELUARKAN ESTIMASI VAT (11%) : 595,870
TOTAL : 6,012,870

Surabaya, 28-08-2023

Estimator
United Indo Surabaya - Basuki Rahmat ESTIMATION FORM
Menganti, Kelurahan Jajar tunggal, Kecamatan Wiyung, Surabaya Jawa Timur 60229 Bodyshop

NPWP: 01.730.951.9-618.001

CREATED BY : Hennu Pradipta Endrantoro DOC NO. : BSES/D/08/23/00026

MODEL : HAD0 - Datsun GO DOC DATE / TIME : 28-08-2023 12:00:00AM
LICENSE NO : L1876IE PAGE : 3 of 3
VIN / CHASSIS NO : MHBJ2CH2FJJ-028999
COLOR : Silver Metallic w/ Black Interior REQUEST BY : NOVIANTO DWI PRASETYO
CUSTOMER CODE : PN1801342 CONTACT PHONE NO.. : .
CUSTOMER NAME : NOVIANTO DWI PRASETYO REFERENCE DOC NO. :
ADDRESS : NGAGEL TIRTO 2/82
KEL.NGAGEL REJO KEC.WONOKROMO
DOCUMENT BATCH NO. : 8,775,126
SURABAYA
INSURANCE POLIS NO. :
PHONE NO :
MOBILE PHONE :
CLAIM NO. :
BILLABLE TO : PN1801342 INSURANCE PIC :
AGREEMENT NO. : PHONE NO. : 6281234901230
INSURANCE NAME : NOVIANTO DWI PRASETYO FAX NO. :
ADDRESS : NGAGEL TIRTO 2/82
KEL.NGAGEL REJO KEC.WONOKROMO
SURABAYA

NOTES

APPROVAL DATE