Head Quarters/ Factory Warehouse

No. 36-GF, Jalan PS 5, Prima Selayang, No. 41-GF, Jalan PS 5, Prima Selayang,
68100 Batu Caves, Selangor 68100 Batu Caves, Selangor
Email: gceengineering@gmail.com

CLAIM DESCRIPTION

PROJECT : KERJA - KERJA MEREKABENTUK, MEMBINA DAN MENYIAPKAN BANGUNAN MINI PENCAWANG
PEMBAHAGIAN UTAMA (MPPU) 33l1‘iKV DI ATAS LOT 50325 MUKIM KUALA TELEMONG, HULU
TERENGGANU, TERENGGANU DARUL IMAN.

ORDER NO.: TNB778/2019

REF. NO.: MMPU/20/03
DATE: 28 DECEMBER 2021
CLAIM NO: 001
PERIOD ENDING: 25 OCTOBER 2021

Original Contract Sum RM - RM 320,475.50

Addition To Contract Sum RM - RM -
Deduction To Contract Sum RM - RM -
Total Adjusted Contract RM - RM 320,475.50

Total Contract Sum RM 320,475.50

CLAIMS
Advance Payment
Total Value Of Works Executed RM 120,272.02
Total Variation Order RM -
75% Value of Material On Site (C&S) RM -
Value Of Dayworks RM -

Gross Certified Value RM 120,272.02

DEDUCTIONS
LESS
Payment Certified From Interim Certificate No: 1 RM -
Progress Payment Retention Sum RM (6,013.60)
Repayment of Advance Payment RM -
Material Purchase on Behalf RM -
Material Supplied Using LC Facilities RM -
Other Sums (Back Charges/Debit Note) RM -
Liquidated Damages RM -

Total Deductions RM (6,013.60)

TOTAL AMOUNT DUE (RM) RM 114,258.42

( RINGGIT MALAYSIA : ONE HUNDRED FORTEEN THOUSAND TWO HUNDRED FIFTY EIGHT AND SEN FORTY TWO
ONLY)

Prepared by; Approved by; Received by;

MyWa Synergy Sdn Bhd

……………………………………… ……………………………………… ………………………………………

Quantity Surveyor Managing Director Managing Director
Date: 28 October 2021 Date: 28 October 2021 Date: