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Please transfer to : PT.

GEOSERVICES
PEROFORMA INVOICE C/o. BANK CENTRAL ASIA

15086030.F Jl. Jendral Sudirman Kav. 23 -23


Jakarta
A/c. No. 035 - 306716 - 2 (Rp)
BASO JASRIADI
JL. JUANDA 8 NO. 11 Date : August 11, 2015

SAMARINDA EAST KALIMANTAN

PHONE Your ref : Analysis Request From Mr. Baso Jasriadi

Our ref.

NPWP :
ALAMAT :

Description :
Cash payment to PT. Geoservice SMD for cost analysis of Two coal samples with code JETTY 1 AND JETTY 2
based on analysis request by Sheet from MR. Baso Jasriadi dated on August 11, 2015.

Price *Price Amount


Description Qty Unit
(USS) Equivalent (USS)

Sample Preparation 2 Hour $ 19.50 Rp 263,113.50 Rp 526,227.00


Total Moisture 2 sample $ 9.00 Rp 121,437.00 Rp 242,874.00
Proximate 2 sample $ 21.70 Rp 292,798.10 Rp 585,596.20
Total Sulphur 2 sample $ 18.00 Rp 242,874.00 Rp 485,748.00
Calorific Value 2 sample $ 31.70 Rp 427,728.10 Rp 855,456.20
HGI 2 sample $ 63.25 Rp 853,432.25 Rp 1,706,864.50
Sub Total Rp 4,402,765.90
PPN 10% Rp 440,276.59
Total Rp 4,843,042.49
(Rate USS 1.00 equivalent Rp. 13.493,00)

Note : the above total payment base on new price list per September, 2008
Please transfer to : PT. GEOSERVICES
PEROFORMA INVOICE C/o. BANK CENTRAL ASIA

15086030.F Jl. Jendral Sudirman Kav. 23 -23


Jakarta
A/c. No. 035 - 306716 - 2 (Rp)
PT. BELAYAN INTERNASIONA COAL
JL. JUANDA 8 NO. 11 Date : August 8, 2015

SAMARINDA EAST KALIMANTAN

PHONE Your ref : Analysis Request From Mr. Baso Jasriadi

Our ref.

NPWP :
ALAMAT :

Description :
Cash payment to PT. Geoservice SMD for cost analysis of Two coal samples with code BIC_BMS SEAM I
based on analysis request by Sheet from MR. Baso Jasriadi dated on August 8, 2015.

Price *Price Amount


Description Qty Unit
(USS) Equivalent (USS)

Sample Preparation 1 Hour $ 19.50 Rp 264,576.00 Rp 264,576.00


Total Moisture 1 sample $ 9.00 Rp 122,112.00 Rp 122,112.00
Proximate 1 sample $ 21.70 Rp 294,425.60 Rp 294,425.60
Total Sulphur 1 sample $ 18.00 Rp 244,224.00 Rp 244,224.00
Calorific Value 1 sample $ 31.70 Rp 430,105.60 Rp 430,105.60
HGI 1 sample $ 63.25 Rp 858,176.00 Rp 858,176.00
Sub Total Rp 2,213,619.20
PPN 10% Rp 221,361.92
Total Rp 2,434,981.12
(Rate USS 1.00 equivalent Rp. 13.568,00)

Note : the above total payment base on new price list per September, 2008
PT. IOL Indonesia
Jl. Wahid Hasyim No. 34A
Samarinda, East Kalimantan,
Indonesia 75119
Tel : (62-541) 250111
Fax : (62-541) 250112
www.inspectorate.com

No. : PI-1096/IOL-SMD/MDA/VIII/15
Date : August 11,2015
PROVISIONAL PROFORMA INVOICE
Client Name : MR. Rahmad
Address : Jl. Juanda 8 No.110
Samarinda

Invoice to :
Invoice Address : Jl. Juanda 8 No.110
Samarinda

Contact Person :

Order Confirmation : OC-0453/IOL-SMD/VIII/15 Job No. : IDSMDJ 15001096


OC Date : August 10,2015 Report Date :
No Description Unit Price (IDR) Quantity Amount (IDR)

Sample Code
1. JETTY 1

1 Preparation 385,000.00 1 Sample Rp 385,000.00


Sample mass 10 - 50 Kg 120,000.00 1 Sample Rp 120,000.00
2 Total Moisture
3 Proximate
Inherent Moisture 93,000.00 1 Sample Rp 93,000.00
Ash Content 93,000.00 1 Sample Rp 93,000.00
Volatile Matter 93,000.00 1 Sample Rp 93,000.00
4 Total Sulphur 293,000.00 1 Sample Rp 293,000.00
5 Gross Calorific Value 426,000.00 1 Sample Rp 426,000.00
6 HGI 875,000.00 1 Sample Rp 875,000.00

Sub Total Rp 2,378,000.00


VAT 10 % Rp 237,800.00
Proforma Invoice Value Rp 2,615,800.00
BANK MANDRI BIDAKARA
Name : PT. IOL Indonesia
A/C No. 070.000.5302315
Swift Code : BMRIIDJA
NPWP PKP
Prepared by, remarks ; proof of payment should send by email
- Receptionist.Samarinda@inspectorate.com
- Dwi.Andriyanto@inspectorate.com
or fax 0541 - 250112
Rakhmanara M. Pramudita
Operation Manager

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