Indomobil Sompo Japan - Ancol ESTIMATION FORM

Jl. Ancol Barat VIII No. 2, Ancol, Pademangan, Jakarta Utara 14430 Bodyshop

NPWP: 74.787.158.0-002.000

CREATED BY : Afrizal Fikri DOC NO. : BSES/K/10/23/00001

MODEL : QY - Sonet DOC DATE / TIME : 04-10-2023 12:00:00AM
LICENSE NO : B2614UZG PAGE : 1 of 2
VIN / CHASSIS NO : MZBFC814TMN086360
COLOR : Glacier White Pearl REQUEST BY : MICHELLE GRABIELLA
CUSTOMER CODE : PM2102575 CONTACT PHONE NO.. : .
CUSTOMER NAME : MICHELLE GRABIELLA REFERENCE DOC NO. :
ADDRESS : JL WALET PERMAI 5/42A RT 013 RW 006
KEL. KAPUK MUARA KEC. PENJARINGAN
DOCUMENT BATCH NO. : 8,825,598
JAKARTA UTARA
INSURANCE POLIS NO. :
PHONE NO :
MOBILE PHONE : 08388293881
CLAIM NO. :
BILLABLE TO : PM2102575 INSURANCE PIC :
AGREEMENT NO. : PHONE NO. :
INSURANCE NAME : MICHELLE GRABIELLA FAX NO. :
ADDRESS : JL WALET PERMAI 5/42A RT 013 RW 006
KEL. KAPUK MUARA KEC. PENJARINGAN
JAKARTA UTARA
REQUEST DESCRIPTION

NO. REQUEST DESCRIPTION

1

Package BodyShop

SEQ. CODE NAME QTY PRICE TOTAL PRICE

1 ISJ-ZG1GC1-MA1 PAINT & REPLACE FRONT BUMPER 1.00 1,050,000 1,050,000
2 IS23-A2P2-MDL PAINT & REPAIR SPOILER BUMPER FR 1.00 590,000 590,000

SUB TOTAL : 1,640,000

DISCOUNT : 0
TOTAL : 1,640,000

Parts

SEQ. CODE NAME QTY PRICE TOTAL PRICE

1 86511CC300 COVER-FR BUMPER UPR 1.00 1,061,800 1,061,800

SUB TOTAL : 1,061,800

DISCOUNT : 0
TOTAL : 1,061,800

NOTES : SUB TOTAL : 2,701,800

1. ESTIMASI TIDAK MENGIKAT DAN SEWAKTU-WAKTU DAPAT BERUBAH
2. BEBERAPA ITEM PART BELUM BISA DIESTIMASI SEBELUM DILAKUKAN PEMBONGKARAN PRICE BEFORE VAT : 2.701.800
3. MASA BERLAKU ESTIMASI " N " HARI DARI TANGGAL DIKELUARKAN ESTIMASI VAT (11%) : 297,198
TOTAL : 2,998,998

Jakarta, 04-10-2023

Approved by, Estimator by,

Indomobil Sompo Japan - Ancol ESTIMATION FORM
Jl. Ancol Barat VIII No. 2, Ancol, Pademangan, Jakarta Utara 14430 Bodyshop

NPWP: 74.787.158.0-002.000

CREATED BY : Afrizal Fikri DOC NO. : BSES/K/10/23/00001

MODEL : QY - Sonet DOC DATE / TIME : 04-10-2023 12:00:00AM
LICENSE NO : B2614UZG PAGE : 2 of 2
VIN / CHASSIS NO : MZBFC814TMN086360
COLOR : Glacier White Pearl REQUEST BY : MICHELLE GRABIELLA
CUSTOMER CODE : PM2102575 CONTACT PHONE NO.. : .
CUSTOMER NAME : MICHELLE GRABIELLA REFERENCE DOC NO. :
ADDRESS : JL WALET PERMAI 5/42A RT 013 RW 006
KEL. KAPUK MUARA KEC. PENJARINGAN
DOCUMENT BATCH NO. : 8,825,598
JAKARTA UTARA
INSURANCE POLIS NO. :
PHONE NO :
MOBILE PHONE : 08388293881
CLAIM NO. :
BILLABLE TO : PM2102575 INSURANCE PIC :
AGREEMENT NO. : PHONE NO. :
INSURANCE NAME : MICHELLE GRABIELLA FAX NO. :
ADDRESS : JL WALET PERMAI 5/42A RT 013 RW 006
KEL. KAPUK MUARA KEC. PENJARINGAN
JAKARTA UTARA

NOTES

APPROVAL DATE