aie to PT. Intiniaga Sukses Abadi
Date of Goods Received
Fund Requisition Form
Thvelee Number + vINB1461807-002950,
(Rave materi)
‘Vendor Invoice Number: INSAI5/1062
Location Pant Kaljat - fice
PT Wasketa Seton Precast Tok.
Invole Date + 25 Jun 2031,
Receive Date: 27 Jul 2018
ae {DR 4,192,264,004.0000 eceeieaten
{One Bitlon One Hundred Ninety Two Milion Two Hundred Sixty Four Thousand Four Rupats) 208
DDescrntions | + Imniaga Sukses Abadi, PT, Pembeian Semen Curah Type 1, INSA18/1062, 316.77/ADD- PLANT KALDATI
‘vpBAP/W/8P/2018, 010.003-18.53462308, PUSAT
Receipt Report Number + RCV2871804-0309814, RCV2821604-0309823, RCV2821804-0161480, RCV2821804-0161485
RCv2821804-0151489, RCV282:804-0152927, RCV2821804-0153391, RCV2821804-0163508
RCv2621804-0309832, RCV2821804-0153901, RCV2821804-0164048, RCV2821804-0164782
RGv2821604-0165623, RCV2821004-0165528, RCV2823804-0165634, RCV2E21804-0168658
‘RCV2B21804-0169144, RCV2821804-0169153, RCV282:804-0169708, RCV2821604-0170758
‘RCV2821804-0170877, RCV2821804-0171501, RCV282:804-0171886, RCV2821805-0309838
‘RCV2821805-0174559, RCV2821805S-0174914, RCV2823805-0309846, RCV2623805-0305916
‘RCV2821805-0180133, RCV2821805-0180164, RCY2821805-0180194, RCV2821805-0182241
‘RCV2821805-0182683, RCV2823805-0182893, RCV2621805-0185430, RCV2621805-0305925
RGV2823805-0186241, RCV282:605-0186091, RCV2621605-0187066, RCV2621805-0187233
‘RcV2821805-0309031, RCV2821805-0189519
Purchase Order Number 2780/SPB/WBP/2017
\endor Purchase Order Number : 316/ADD-1V/SPPM/WBP/2015
‘Checklist For Payment :
Item Description Document Tick Remarks/Action
1. Invoice Mw
2. Receipt With Materai ta
3. Delivery Order ei
4, Purchase Order iv
5. Tax Involee i
6. others v
Note: All invoices must te in wth Delivery Order and Purchase Order.
Inyolces mast be verified by person Incnarge
verified 5y: ‘Approved By!
Za
‘OKIBATRIA _FERIE SUDARMINTO
‘Accounting Purposes Only
Journal AR
‘RR Number : RCv2821604-0309814
‘Account oe. Descriptions ‘Amnount
111551 ° Persediaan Sahan Baku TOR 228,240,000.1059
310512 Gg Persediaan Vg belum ditaginkan rR, 28,240,000,1059
RR Number : RCv2821604-0300823
‘Account Dic Descriptions ‘amount
111551 D erseciaan Banan Baka oR 27,068,091.0105
310512 c Fessesiaan ¥ bolum aitagihkan, IDR 27,068,091.0106
RR Number : RCV2623604-0161480
‘Account oc. Descriptions, ‘Amount
111551 > Perseciaan Bahan Baku oR 26,712,727.3729
310512 c Persedigan ¥g bolum citagihkan IDR 26,732,727.3729
FRR Number : RCV2821804-0161485
‘Account oye Descriptions ‘Amount
111581 . Persediaan Bahan Baku TDR 27,367,272.8299
310512 3 Persediean Yq belum itaginksn TDR 27,367,272.8299
RR Number : RCV2821804-0161489
‘Account pyc Descriptions ‘Amount,
11851 ° PPersedizen Bahan Baku oR. 24,690,909.1835
310812 ci Persediaan Yp belum citagihan OR, 24,690,909.1835
RR Number : RCV2821804-0162927
‘Account yc. Descriptions ‘amountAccount ore
suis > Persediaan Bahan Baku
210512 c Persedaan Ye belum ditaghkan
RR Number : RCV2#21805-0174559
-ecount prc
nissi > Persedigan Behan Boku
2012 ic ersedaan Yg belum ditaginkan
RR Number : RCV2#21805-0174914
Recount Dre
nuiss1 ° ersediaan Bahan Baku
310512 c Persedinan Vg bolum ditagihian
RR Number | RCV2821805-0300805
‘count ore
aussi . Persediaan Bahan Baku
310512 c PoreediaanYg bolum ditaginkan
RR Number : RCV2821605-0308816
count orc
aussi oy Pereediaan Gahan Baku
aio512 c Persediaan Vg belum dltaginkan
RR Number : RCV2821805-0180133
Account orc
aussi > Persediaan Gahan Boku
310512 & Persediaan ¥gbelum cltaenkan
RR Number = RCV2821805-0180168
Recount Dye
asst > Persedinan Behan Boku
310512 c Perseciaan ¥gbelum altaghian
RR Number : RCv2#21805-0180198
Account Dre
asst > Persediaan Bohan Boku
0512 c Perseciaan Yg belum ditaginkan
[RR Number : RCV2821005-0182341
‘Account Dre
asst > Perseciaan Bahan Boks
si0s12 c Persediaan Vg belum ditagikan
[RR Number : RCV2821005-0262683
‘count orc
310512 c Perseclaan ¥gbelum ditaghkan
RR Number : Rcv2#21805-0102693
‘count ore
ruisst . Persediaan Bahan Bales
a10si2 c Perseciaan Yg belum eltaghkan
RRR Number : RCV2#21605-0185420
‘Account bre
uuisst > Persediaan Bahan Baku
10512 c Perseclaan ¥g bolum dltagihkan
RR Number : RCV2821805-0209925
Account Dye
aussi > Persedlaon Sohan Boku
a10s12 c Persediaan Yo belum ctaginkan
RR Number : REV2#73805-0286243
‘count bic
asst . Fersediaan Sahen Boku
310822 c Perseciaan ¥g belum ditaghkan
AR Number : RCV2871805-018689:
‘Recount prc
111551 ° Pecseciaan Bahan Baku
10512 c Perseciaan ¥gbelum ditaghkan
AAR Number : RCV2871805-0187066
‘ecount Die
111551 ° Porseciaan Bahan Bakes
310512 fc Perseciaan ¥gbelum aitaghkan
RR Number : Rev2621605-0187232
‘Recount pie
11581 ° Perseciaan Bahan Baiey
310512 c Persea Yg belum ditgihkan
RR Number : RCV2821805-0309931
‘ecount bic
11582 . Percedisan Bahan Saku
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
Descriptions
oR
1k
oR
oR
DR
mR
oR
wR
TOR
wR
TOR
oR
oR
oR
oR
1k
IR
oR
1oR
oR
TOR
oR
IDR
1R
oR
Amount
Amount
Amount
Amount
‘Amount
‘Amount
amount
amount
mount
amount
amount
Amount
26,589,091.0088
26,589,091.0088
26,116,363.7343
26,116, 363.7343
28,160,000.1056
28,160,000.1056
25,810,509.1862
25,610,509.1662
124,007,272.8173,
24,007,272.8373,
25,200,000.0945,
25,200,000.0845
24,363,636.4850,
24,363,636 4550
26,669,091.0091
26,669,091.0051
22,254,505.5380,
22,254,545.5380,
28,608,181.9258
20,698,161.5258
21,745,458.6270
24,745,454.6270
24,181,8182725
24,181,818.2725,
29,592,727.3837
29,590,727 3837
25,088,181.9123,
25,098,181.9123,
25,654,545.5545,
26,654,545.5545,
25,632,727 3725
126,632,727.3728
26 356,363.7352
26,356 363.7352
26,778 183.9186Invoice Nomber \in21461807-002941
(Reve Mater!)
Vendor Invoice Number : INSAL/0978
Location Prant Kaljat - Offce
PT Waskta Seton Precast Tok.
Fund Requisition Form
Paid to = PT. Intiniaga Sukses Abad Invoice Date + 23 May 201
Date of Goods Received Receive Date 24412018
JOR 335,504,001.0000 Due Date + 24 Sep 201
(Three Hundred Thirty Five vation Five Hundred Four Thousand One Ruplahs) PLANT KALDAT!
Descriptions Intiniaga Sukses Abad, PT, Pambelian Semen Curah, INSAI8/0978, 316.76/ADD-V/WEE/2018,
Receipt Report Number [Rcv2821804-0150304, RcV2821804-0151345, RCV2821804-0152602, RCV2821604-0309312
‘RcVv7491804-015548e, RCVIE?1804-0155566, RCV2871804-0155754, RCV2821804-0155790
RGV2821604-0157324, REV2E21H04-0308220, RCV2E21804-0309326, REV287IE04. 0158199
R6V2821800-0158302
Purchase Order Number 2780/5°5/W82/2017
Vendor Purchase Order Number: 336/AD0-1V/SPPH/BP/2015
amount
Checklist For Payment:
kom eserption Document Tek Remarks/Action
Invoice wu
Rect wth Matra iv}
Deivery Order ie
Purchase Order eg
Tx involee
os a
Note :Allinvoices must tien with Delivery Order end Purchase Order
Invoices must be verted by person in-charge
xi ey Verifies By ‘Approved By
sawat asp! fe wate
‘counting Dest
‘Accounting Purposes Only
Sournal Ri.
aR Number : 8cv2623604-0150394
Account orc Descriptions
11sst . ersadiaan Bann Sales 18,865,454 6162
310512 cc Perseciaan ¥g belum citgibkan 10,865,454.6162
ARR Number : RCV2828604-0151345,
Account ore Descriptions
asst ° Perseciaan Bahon Bales 24,109,090.9995
310512 a Perseciaan Ya belum chaginkan 24,108,090.8895
[RR Number : REV2821803-0152692
Account pre
aussi . Persedioan Bahan Boku 26,382,727.3717
310512 c Perseciaan ¥g belum cttaghkan 25,392,7273717
RR Number : REV2821804-0309312
‘Account pie
asst 1D _ersediaan Bahan Boku 26,305,454.6441
310822 e Persediaan Yo belum citaghkan 26,305 458.6441
RR Number : RCV2671808-0155486
‘ecount bic
1551 > Persediaan Bahan Baku 19,169,090.9809
310512 a Perseciaan ¥g belum ditaghkan 19,149,090,9809
AR Number : RCV2821800-0155568.
Account pic Descriptions
111551 . Persedlaan aahan Saku 22,101,818.2647
10512 c Percegiaan ¥gbelum ditaginkan 22,101,818.2647
AAR Number : RCv2822608-0155758
Account orc Descriptions
1ss1 ° Perseclaan Bahan Bak 21,301,818.2617