BERITA ACARA CLAMPING FEE ( PEIMASANGAN COUPLER PT. ACSET INDONUSA TBK Pada har ini, Rabu Tanggal Oelapan Belas Oktober Tahun Dua Ribu Dua Puluh Tiga ( 18-10-2023 }, Kami yang bertanda tangan di Bawah inl: 1. Nama ‘Mewakii PT. Acsetindonusa Tbk, disebut sebagal ( Plhak Pertama ) 2.Nama ‘Aron M Davinchy ‘Mewakil PT Fuj Bolt indonesia, disebut sebagai Pihak Kedua ) Telah selesai melaksanakan pemeriksean terhadap pekerjaan pemasangan Coupler type Rl oleh (Pihak Kedua } dengan patincian sebagalberikut No sPK 4100003398 PROYEK PT Acset indonusa Tbk TAGIHAN KE #4 (Satu) No | TANGGAL DESKRIPS! SATUAN ty | HARGASATUAN| TOTALHARGA. a_| 1371072023 | Transportation aU — 1100 | $00,000.09] 300,000.00 2 | 14/10/2023 | Pekerjaan Coupler camping fee D22 AU 3.00] 250,000.00" __1,250,000.00, 3__| 14/10/2023 | Supervis! & Axomodasi aU 3.00] 800,000.00 '800,000.00 Total 2,350,000.00 PPN 13% 280,500.00 PPH 29% 51,000.00 Grand Total 2,779,500.00 Hasll pekerjaan tersebut dinyatakan selesal dengan balk ( Pemeriksaan lapangan terampir) Demikian Berita Acara inl dibuat dan dl tandatangani dengan sesungguhnya untuk dapat dipergunakan sebagaimana mestinya Disetujuloleh ; Dibuat oleh; PIHAK PERTAMA PIHAK KEDUA PT. Aeset Indonusa Tok PT. Ful! Bolt Indonesia alr, PT.FI INDONESIA ( ) (Aron M Davinchy )fee “ , menejameter Insalation Date: 095/00 / tO pokabe Report sheet of Clamping Type RII (Same J@Froject Name. 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