PT.

BIROTIKA SEMESTA
Building F, Mulia Business Park
Jl. M.T. Haryono Kav 58-60
Jakarta 12780, Indonesia *4914934813*
Toll Free: 0-800-1333-333
NPWP 01.310.774.3-062.000
INBOUND CHARGES INVOICE
PT ABADI SELARAS INDONESIA
Account Number : DUTYIDJKT
JALAN BUNGUR BESAR RAYA NO 40 RT 3
RW 1 GUNUNG SAHARI SELATAN KEMAYORA Invoice Number : D04794684
JAKARTA HWB Number : 4914934813
Date : 10/01/2019
Attn: .
Contact Number: 62817187554 Payment Due Date : 10/01/2019

Please Reimburse the Total Charges Shown Below To: PT. BIROTIKA SEMESTA

Shipment Details
Origin: SZX Pieces: 4 Contents: LED STRIP 2000PCS
Destination: JKT Weight: 114.00 Assessed Value: Arrival Date: 30/12/2018

Billing Details
IMPORT EXPORT DUTIES 3,808,000
BANK CHARGES 45,000
DOCUMENT CHARGES 20,000
DUTY HANDLING CHARGES (ADVANCE PAYMENTS) 100,000
SPTNP PIB 5,938,000
BONDED STORAGE 1,368,000
FORMAL CLEARANCE 150,000
VAT FOR OTHER CHARGES 163,800

Payment Terms
Cash on delivery unless
stated otherwise on the invoice
THIS IS A COMPUTER GENERATED INVOICE. NO SIGNATURE IS REQUIRED.
Please Pay This Amount: IDR 11,592,800

Remittance Advice

Company Signature / Stamp: Account Number : DUTYIDJKT

We enclose cash for IDR 11,592,800
Invoice Number : D04794684
We enclose cheque No. ________________ for IDR 11,592,800
HWB Number : 4914934813
Please debit our Credit / Charge Card No. ____________________________
Date : 10/01/2019
Cardholder name: _______________________________
Total Amount IDR : 11,592,800
Expiry date: ____________________________________

Not all payment options are available to all countries

* 1 1 5 9 2 8 0 0 * * D U T Y I D J K T * * D 0 4 7 9 4 6 8 4 *

1. Detach this payment advice and return it together with your payment
2. Cheque should be crossed and made payable to PT. BIROTIKA SEMESTA

Customer Endorsement
SSPCP PIB/PIBT Nota 2A

We acknowledge receipt of the above documentation Account Number : DUTYIDJKT

PT ABADI SELARAS INDONESIA Invoice Number : D04794684

Company Signature / Stamp: HWB Number : 4914934813

Printed Name / Title: Date : 10/01/2019

Total Amount IDR : 11,592,800

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