PT.

Kalibesar Raya Utama

Komp. Mega Grosir Cempaka Mas Blok E No. 1 - 6, Jl. Letjen. Suprapto, Jakarta 10640 - Indonesia
Phone : (62-21) 4288 - 3707 (Hunting) * Fax : (62-21) 4288 - 3708, 4288 - 3709 * www.kbru.co.id
Nomor Izin Usaha : 511/KMK.017/1994
Member of APPARINDO

INVOICE ORIGINAL
No. : 314789920MC004741
Name : PT. AGRO ASIA PACIFIC

Address : MENARA GLOBAL BUILDING, 5TH FLOOR, JL. GATOT SUBROTO KAV. 27, JAKARTA, 12950

Type of Cover : MARINE CARGO INSURANCE

Period of Insurance : 17 April 2021 - 17 May 2021
Effective Date : 17 April 2021
Total Sum Insured : IDR 704,975,040.00
Catatan / Notes Perincian / Details
Cover Note Number : 018878/CV/MCI/MCI.A97-KBRU/04/2021 Premium IDR 704,975.00
Stamp Duty/Cost IDR 24,000.00
Administration Cost IDR 10,000.00

Please submit the above premium to : PT. KALIBESAR RAYA UTAMA, Total Due To Us IDR 738,975.00
Beneficiary Name : KBRU QQ PT AGRO ASIA PACIFIC
Jakarta, 01 July 2021
A/C No. : Bank Sinar Mas - 805220036777
Signed for and on behalf of :
PT. KALIBESAR RAYA UTAMA,

Please inform us if you have transfered to our account, to this email address :
collection@kbru.co.id
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Heri Rajain Girsang

From: Dhammika Laksiri

Sent: 13 August, 2021 11:48 AM
To: Heri Rajain Girsang
Cc: Awadhesh Thaker; Cherry Valentine; Noeryuniati; Rossy Octaviany
Subject: FW: Invoice - Insurance Premium for Sintang Shipment cover
Attachments: 314789920MC005124 - SD01V05-00588 TKG Titian Melawi 3.pdf;
314789920MC005125 - SD01VI06-00642 TKG Permata.pdf; 314789920MC005126 -
SD01VI06-00642 TKG Permata 2.pdf; 314789920MC004741 - SD02II03-00451TK.
AMP III .pdf; 314789920MC004758 - SD02II03-00451,504 TK. Argo Mitra 5.pdf

Approved

From: Heri Rajain Girsang

Sent: Tuesday, August 10, 2021 1:12 PM
To: Dhammika Laksiri <dhammika.laksiri@goodhope.co>
Subject: FW: Invoice - Insurance Premium for Sintang Shipment cover

Dear Pak Dhammika,

Kindly please approve the attached invoice also

PT. KBRU

Invoice Number : 314789920MC005125

Amount : Rp. 6,943,264
Contract Number : SD01VI06-00642
Details : Premium for TK. Permata CPO shipment BL: 525.65 MT
(previously load using contract SD01V05-00588 but change to
contract SD01VI06-00642)

Invoice Number : 314789920MC005126

Amount : Rp. 3,190,970
Contract Number : SD01VI06-00642
Details : Premium for TK. Permata CPO shipment BL: 236.65 MT
(previously load using contract SD01V06-00599 but change to
contract SD01VI06-00642)

Invoice Number : 314789920MC004741

Amount : Rp. 738,975
Contract Number : SD02II03-00451
Details : Premium for TK. AMP III PK shipment BL : 85.68MT

Invoice Number : 314789920MC004758

Amount : Rp. 1,341,211
Contract Number : SD02II03-00451 – 73.61MT
SD02III04-00504 – 82.24MT
Details : Premium for TK. Argo Mitra 5 PK shipment
BL : SD02II03-00451 – 73.61MT, SD02III04-00504 – 82.24MT

Invoice Number : 314789920MC005124

Amount : Rp. 6,257,793
1
Contract Number : SD01V05-00588
Details : Premium for TK. Titian Melai 3 CPO shipment BL: 473.5MT

From: Awadhesh Thaker

Sent: 10 August, 2021 11:23 AM
To: Heri Rajain Girsang
Cc: Dhammika Laksiri
Subject: RE: Invoice - Insurance Premium for Sintang Shipment cover

Approved

From: Heri Rajain Girsang <heri.girsang@goodhope.co>

Sent: Friday, 23 July, 2021 3:04 PM
To: Awadhesh Thaker <awadhesh.thaker@goodhope.co>
Cc: Dhammika Laksiri <dhammika.laksiri@goodhope.co>
Subject: Invoice - Insurance Premium for Sintang Shipment cover

Dear Pak Awadhesh,

I already check and confirm the invoice. Kindly please approve the attached invoice also

PT. KBRU

Invoice Number : 314789920MC005125

Amount : Rp. 6,943,264
Contract Number : SD01VI06-00642
Details : Premium for TK. Permata CPO shipment BL: 525.65 MT
(previously load using contract SD01V05-00588 but change to
contract SD01VI06-00642)

Invoice Number : 314789920MC005126

Amount : Rp. 3,190,970
Contract Number : SD01VI06-00642
Details : Premium for TK. Permata CPO shipment BL: 236.65 MT
(previously load using contract SD01V06-00599 but change to
contract SD01VI06-00642)

Invoice Number : 314789920MC004741

Amount : Rp. 738,975
Contract Number : SD02II03-00451
Details : Premium for TK. AMP III PK shipment BL : 85.68MT

Invoice Number : 314789920MC004758

Amount : Rp. 1,341,211
2
Contract Number : SD02II03-00451 – 73.61MT
SD02III04-00504 – 82.24MT
Details : Premium for TK. Argo Mitra 5 PK shipment
BL : SD02II03-00451 – 73.61MT, SD02III04-00504 – 82.24MT

Invoice Number : 314789920MC005124

Amount : Rp. 6,257,793
Contract Number : SD01V05-00588
Details : Premium for TK. Titian Melai 3 CPO shipment BL: 473.5MT