PURCHASE ORDER - EMERGENCY

PT. DARMA HENWA, Tbk. District WKP2

Page 1 Of 3
Print Date 12/07/2023
Gedung Bakrie Tower Lantai 8, Rasuna Approved Date 12/07/2023
Epicentrum Order Number/Ver W02700/1
Jl. HR. Rasuna Said, Kuningan PO Type Owned Stock
Jakarta 12940 Priority EMERGENCY
N.P.W.P. : 01.565.295.1.091.000 Currency IDR
TEL : (021) 2991 - 2350 FAX : (021) 2991 - 2364

SUPPLIER ADDRESS DELIVERY ADDRESS

SANY HEAVY INDUSTRY INDONESIA,PT WEST KINTAP COAL PROJECT
UOB PLAZA THAMRIN NINE LT 42 UNIT 1,MH THAMRIN NO 10 Jln A. Yani KM 141 ,Jembatan SSDK,
KEBON MELATI JAKARTA Desa Kintap Kecil, Kecamatan Kintap,
Phone No : (021) 29290851 Kabupaten Tanah Laut, Kalimantan selatan,
Fax No : Kode Pos 70883
Email : endingnugroho@sany.co,id
Contact Person : ENDING NUGROHO
QUOTE NO :
Freight FREE INTO STORE
Header Notes :

No Stock Code Item No Description QTY UOM Unit Cost Extension Delivery

1 200067241 B230101001214 O RING 10 EA 2,700.00 27,000.00 19/07/2023

2 200067242 13746814 GUIDE RING 2 EA 16,400.00 32,800.00 19/07/2023

3 200067243 B230101000191 SEAL RING 5 EA 94,300.00 471,500.00 19/07/2023

4 200067244 A210417000045 RETAINER RING 1 EA 2,100.00 2,100.00 19/07/2023

5 200067246 13254960 RETAINER RING 5 EA 8,800.00 44,000.00 19/07/2023

6 200067247 60035658 SELF LUBRICATED BEARING 1 EA 70,900.00 70,900.00 19/07/2023

7 200067248 60184737 SEAL RING 1 EA 185,800.00 185,800.00 19/07/2023

8 200067249 61007983 RETAINER RING 5 EA 14,000.00 70,000.00 19/07/2023

Terms and Conditions of PT. Darma Henwa Tbk., which have been previously provided to you, set out the terms and conditions applicable to this Purchase Order.
ALL ORDERED GOODS SHOULD BE DELIVERED TO WAREHOUSE. PO SHOULD BE SUPPORTED BY INTERNAL RECEIPT & ALL DELIVERY NOTE SHOULD BE SIGNED BY
PTDH AUTHORIZED PERSON AND SUPPLIER AND BE STAMPED AFTERWARD PTDH WILL NOT PROCESS THE INVOICE AND PAYMENT WITHOUT PO, DELIVERY NOTE
AND INTERNAL RECEIPT.
PLEASE FORWARD ALL INVOICE COMPLETE WITH DELIVERY NOTE , FAKTUR PAJAK, COPY PO AND INTERNAL RECEIPT
TO PT DARMA HENWA Tbk. HEAD OFFICE IN JAKARTA WITHIN 60 DAYS FROM DELIVERY DATE
This Purchase Order is valid for 30 days from the date of delivery schedule unless otherwise stated
 PURCHASE ORDER - EMERGENCY
PT. DARMA HENWA, Tbk. District WKP2
Page 2 Of 3
Print Date 12/07/2023
Gedung Bakrie Tower Lantai 8, Rasuna Approved Date 12/07/2023
Epicentrum Order Number/Ver W02700/1
Jl. HR. Rasuna Said, Kuningan PO Type Owned Stock
Jakarta 12940 Priority EMERGENCY
N.P.W.P. : 01.565.295.1.091.000 Currency IDR
TEL : (021) 2991 - 2350 FAX : (021) 2991 - 2364

SUPPLIER ADDRESS DELIVERY ADDRESS

SANY HEAVY INDUSTRY INDONESIA,PT WEST KINTAP COAL PROJECT
UOB PLAZA THAMRIN NINE LT 42 UNIT 1,MH THAMRIN NO 10 Jln A. Yani KM 141 ,Jembatan SSDK,
KEBON MELATI JAKARTA Desa Kintap Kecil, Kecamatan Kintap,
Phone No : (021) 29290851 Kabupaten Tanah Laut, Kalimantan selatan,
Fax No : Kode Pos 70883
Email : endingnugroho@sany.co,id
Contact Person : ENDING NUGROHO
QUOTE NO :
Freight FREE INTO STORE
Header Notes :

No Stock Code Item No Description QTY UOM Unit Cost Extension Delivery

9 200067250 SYG005426774 GUIDE SLEEVE 1 EA 284,800.00 284,800.00 19/07/2023

10 200067251 60035790 SEAL RING 5 EA 60,800.00 304,000.00 19/07/2023

11 200067252 A210417000107 RETAINER RING 1 EA 2,100.00 2,100.00 19/07/2023

12 200067253 151401010505A DUST RING 1 EA 73,000.00 73,000.00 19/07/2023

13 200067255 SYG005067273 DUST SHELTER 1 EA 273,300.00 273,300.00 19/07/2023

14 200067259 60184718 RING DUST 1 EA 133,600.00 133,600.00 19/07/2023

Foot Notes :

Terms and Conditions of PT. Darma Henwa Tbk., which have been previously provided to you, set out the terms and conditions applicable to this Purchase Order.
ALL ORDERED GOODS SHOULD BE DELIVERED TO WAREHOUSE. PO SHOULD BE SUPPORTED BY INTERNAL RECEIPT & ALL DELIVERY NOTE SHOULD BE SIGNED BY
PTDH AUTHORIZED PERSON AND SUPPLIER AND BE STAMPED AFTERWARD PTDH WILL NOT PROCESS THE INVOICE AND PAYMENT WITHOUT PO, DELIVERY NOTE
AND INTERNAL RECEIPT.
PLEASE FORWARD ALL INVOICE COMPLETE WITH DELIVERY NOTE , FAKTUR PAJAK, COPY PO AND INTERNAL RECEIPT
TO PT DARMA HENWA Tbk. HEAD OFFICE IN JAKARTA WITHIN 60 DAYS FROM DELIVERY DATE
This Purchase Order is valid for 30 days from the date of delivery schedule unless otherwise stated
 PURCHASE ORDER - EMERGENCY
PT. DARMA HENWA, Tbk. District WKP2
Page 3 Of 3
Print Date 12/07/2023
Gedung Bakrie Tower Lantai 8, Rasuna Approved Date 12/07/2023
Epicentrum Order Number/Ver W02700/1
Jl. HR. Rasuna Said, Kuningan PO Type Owned Stock
Jakarta 12940 Priority EMERGENCY
N.P.W.P. : 01.565.295.1.091.000 Currency IDR
TEL : (021) 2991 - 2350 FAX : (021) 2991 - 2364

SUPPLIER ADDRESS DELIVERY ADDRESS

SANY HEAVY INDUSTRY INDONESIA,PT WEST KINTAP COAL PROJECT
UOB PLAZA THAMRIN NINE LT 42 UNIT 1,MH THAMRIN NO 10 Jln A. Yani KM 141 ,Jembatan SSDK,
KEBON MELATI JAKARTA Desa Kintap Kecil, Kecamatan Kintap,
Phone No : (021) 29290851 Kabupaten Tanah Laut, Kalimantan selatan,
Fax No : Kode Pos 70883
Email : endingnugroho@sany.co,id
Contact Person : ENDING NUGROHO
QUOTE NO :
Freight FREE INTO STORE
Header Notes :

No Stock Code Item No Description QTY UOM Unit Cost Extension Delivery

PO Originator : I Nyoman Sumierawan Total : 1,974,900.00

Email Address : inyoman.sumierawan@ptdh.co.id
Phone No :

Terms and Conditions of PT. Darma Henwa Tbk., which have been previously provided to you, set out the terms and conditions applicable to this Purchase Order.
ALL ORDERED GOODS SHOULD BE DELIVERED TO WAREHOUSE. PO SHOULD BE SUPPORTED BY INTERNAL RECEIPT & ALL DELIVERY NOTE SHOULD BE SIGNED BY
PTDH AUTHORIZED PERSON AND SUPPLIER AND BE STAMPED AFTERWARD PTDH WILL NOT PROCESS THE INVOICE AND PAYMENT WITHOUT PO, DELIVERY NOTE
AND INTERNAL RECEIPT.
PLEASE FORWARD ALL INVOICE COMPLETE WITH DELIVERY NOTE , FAKTUR PAJAK, COPY PO AND INTERNAL RECEIPT
TO PT DARMA HENWA Tbk. HEAD OFFICE IN JAKARTA WITHIN 60 DAYS FROM DELIVERY DATE
This Purchase Order is valid for 30 days from the date of delivery schedule unless otherwise stated