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INVOICE NO.

142/J12040/IX/13

05 September 2013

PT. PERKASA INTERNUSA MANDIRI


Jl. Raya Serpong Km. 8
Serpong, Tangerang
Banten 15325

Attention : Mr. Roy Wiradharma

SERVICES FEE INVOICE

Project Title : ALFA HEADQUARTERS OFFICE TOWER I - ADDITIONAL FEES


Subject : Architectural Design
Project No. : J12040

CLAIM No. 001

Fee for Services rendered in relation to : ALFA HEADQUARTERS OFFICE TOWER I - ADDITIONAL FEES

Stage Description Amount Work Complete Previous This


USD % Amount Invoice Invoice USD

Variation Order No. 1 12,500 100% 12,500 0 12,500

Total 12,500 - 12,500 - 12,500

Fees USD 12,500.00


VAT 10% USD 1,250.00
USD 13,750.00
W/H Tax - PPh art. 4 (2) 6% USD (750.00)
Total to be Transferred USD 13,000.00

Payment Term Due upon receipt of invoice

NPWP : 01.869.832.4-058.000

Settlement of this invoice can be eithers:


1. By telegraphic transfer to PT. Prada Tata Internasional Account No. 8801303554 for Rupiah or 8802303554
for USD with Bank Commonwealth, Wisma Metropolitan II Ground Floor, Jl. Jend. Sudirman Kav.29 Jakarta 12920

2. Indonesian Rupiah crossed cheque or Bilyet Giros. If paying in Rupiah, please use the exchange rate at the date
payment. Please quote the invoice number on the transfer order or on the back of the cheque.

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