ffi HExlNDo

(abang : . S0C055 rEP SAI.{PIT

EIAMAI : JT.JEIID SUBIF}&N KM 4,5
$epada : 12?585 pT.suRTA IIITI SegIT rSguRIpl-N
Alamat : JT. Idl. AXSYAD I{I{.8 PETA}IGSIIN
ME!,ITATIA B-tRtl KETAFANG MENTAIrA BARU reTAPANG
KOTAWARINGIN TIMUR
1i1-rn

Telp - i :
Eax ; :

SU RAT PEHGIRIMAH BARAI.IG

SPB l{o
-: sFB/553.216AA/23
Tanggal : 1t-Dec-2O23
l Nama Customer : PT.SURYA INTI SAVIT IqIIURIFAN
llo. Po/$PK Custoner : 0062/ 00981 sIs-sIE./MAI/ L O / 2023 Ekspedlsi : - Eand Carrlr
Ho. ",tolos : 553s19056i $oner Resi : laub expedisi]
*ipesan O]-eh : IEU MEI,I Moda Transportasi : 2 Pp.RTs C0UNTER I FSR I },IEciIANiC
No, HP/TeIp Nc, Kendaraan : lpfat nomer kendaraan expedisi]'
li

I JUi4I.AH
NO lTEt'4 NOMOR SUKU CADANG URAIAN BARAN8 REFERENSI KETERANOAN
PESAT{AN TERKIRIM
10 A)(LESUPPORT
il 20 26113-Am?1 PACKING 1
ii 30 26t1r-02tl1 PACKING 1
I
40 26413-02031 BUSHING 1

50 26113-02A?1 FACKING 1

60 26113-0?031 BUSHING 1

70 26,A13-02A41 IVASHER;THRUST I
80 16423-020?1 sEAli0lL A E3112396
90 ',$123-02W1 BR6. 4 3112397
100 15323-5?3(t BRG. l+

110 $423-4fin2 O.RING t, fl1n98

120 . 163C3-02021 D.RING l.
130 16t23-02181 SEAL 1
140 16423-02181 SEAL 3
150 FAN MOTOR
160 2$E,J7581 REPAIR KIT I
170 263E?-t?011 REPAIR KIT 1
r80 1$42-*2492 6A5KET 1
't90 HOSE
200 263C7-620A1 HOSE 2
r)
riina c,ieh,
Il tL'L7 \a
guTHEH*G PT.

^
F
, rv*rr, ,
PSF./Mekanik/Eksp edisi

*) KO;,OM TSTERAI'IGAN BERISI INTORMAS,I fiOI{DIsI PENERIF&AN SPARE PAF.T. SEPEI.T; DAI.iAGE, OOoD, LgSs, OVER, DrrL.

tembai 1 Sarna putih ! pelangqan

Lember 2 Warna Biru : Security
terilbar 3 i{arna Flerah : hiarehouse
Lembar 4 l{arna Kun3-ng : pardj Counter / Service jt&$irr
Lembazr 5 t*arna }ti]au : ?SfilMekanik./EksFediei

PT Hexindo Adiperkasa Tbk Kawasan lndustri Puto Gadung Tet. [021] 4611688 www{exindo-tbk.co.id
JL. PuLoKambing ll Kav. I - ll No.33 Fax. [021] 4611686
Jakarta, lndoneisia 1 3930

printed bY D€rita tl€Etfia sR?rus

 Page 1
: ],27585
GHEXTNDo
TO
PT.SURYA INTI SAhTT KAHURIPAN

]1. KH.hIAHID HASYIM NO. 188-19O.

fI. fendral Sudirrnan Kll 4,5 KAMPUNG TiNIT TgrugX ABANG JAKAR
lfentara Baru Hulu TA PUSAT DKI ]AKARTA, RAYA
Kotararingin Timur 77432 INDONESIA
P[Ot{El e53t-12092 PHONE: CIZ! 3926887
F$( z ASSt-32O92 FAX :
HPtrlP : 01.385 .957.4-Agt.AAA NPhIP : 02.790.217.6-073.AOg
QUOTATION
Penawaran No. s53Q094O6 ;

Tanggal 27 /tA/2A23
Customen Onden No. oa62laogglsls-
Dengan honmat, Order Person IBU MELI
Dengan ini kami sampaikan penawanan perbaikan / perawatan alat sbb

Model & SIN Alat : ZNt4o 4FCOARAOAO8372

a. Jenis Pekenjaan : PART ONLY

b. Estimasi biaya
1.f,asa Service RP 15,8O0, AAO.AO
2.larak Tempuh RP 2r85O,AgO.OO
3.Suku Cadang RP 57,690,266.O9
4. Lain lain RP 8,AAO,OAA.gA

Amount RP 85r 340,266. O9

PPN AA% RP 9,397 ,42g.AA

Total RP 94,727 ,695.6A

c. Estimasi waktu penyelesaian penbaikan : hani kalenden

Ketentuan Persyaratan lain :
/
1. Penawanan berlaku sampai dengan tanggal : LL/!L'IZAZ}
2.
.

Ganansi senvj.ce terbatas pada pekenjian yang diraksanakan saja.

3. Pembayaran uang muka x,sisa hani seterah pekenjaan seresai
4. Penyimpangan dani estimasi tsb diatas,diatun daram kontrak/po

Demikian penawanan kami, semoga berkenan dan segala hal yang mungkin
kunang jelas,dengan senang hati kami akan menjiraskan slcaF4 rinci.

kami. menunggu konfinrnasi/persetujuan dan sebelumnya kami ucapkan tenima

Kasih atas perhatian dan kepercayaan yang dlbenikan.
Pe1 Hormat Kami,
()D jui, ( ) Ditunda. PT.HEXTNDO ADIPERKASA TbK

t'1
;ffi
stgrAan
FtffixE${me;

Nama f Tangan & Stempel

\sulanaoyo
^\eeq

Btlanch Head
)

PT Herindo Adlperkasa Tbk Kawasan lndustri Puto Gadung Tet. [021] 4611688 www. hexi ndo-tb k.co. id
Jt. Puto Kambing ll Kav. I - ll No. 33 {021) 4611686
Jakarta, lndoneSia 13930
Fax.
u
rage r r.ut" .
printed bY Detita tlelitna Sitorus
 Page;
HEXI}IDO
Lampinan Surat Penawanan No: 553QA9406 Tanggal 27 /M/2o23

Jasa Waktu &

Senvice Descniption Harga Satuan Amount
Kggg AA22 REPAIR AXLE AND FAN MOTOR 24.OO Hrs 8,4AO,AAA.AA
{

K999 AA22 REPAIR AXLE AND FAN MOTOR 24.OO Hrs 8,4AA,mA.W
Sub TotaL !6,8OO,OAA'.AA

Mileage 3O6.0 km 2,85A,OOO.OO

Suku Cadang
Parts No Descrlption Unit Price Amount
AXLE SUPPORT t .ao .ao
26413-A2A73, PACKING 2 839,2O4.OA t"678,469,OO
26413-A2A3t BUSHIN6 1 769,22A.OA 769"22A.OO
26473-A2A77 PACKING t ' 839,2O4.OA 819,2A4.AA
26413-A2A1t BUSHING 1 769,22A.OA 769,22A.OA
264],3-A2A47 h,AsHER, THRUST L 84L,O3O.AO 84t,O3O.OA
L6423-02071 sEAL, OrL 4 1,243,592.OA 4,974,369.00
16423-02081. BRG, TAPER-ROLLE 4 21065,t4g.OO g,*o,5g2.og
16323-52341 BRG,TAPER-ROLLE 4 2,.725,74A.OO ta,9o2,960.OO
!6423-A2142 O-RING 4 L,206,766.AO 4,824,664.OA
t63C3-b2A2,L D-RING 4 t,6a6,2g4.OA 6,425,].76.OO
t6423-A2t8t SEAL 4 92].,360.OA 3,695, 44g.OO
FAN MOTOR 1 .09 .oa
263E2-!758L REPAIR KIT 1 4,835, AOg.OA 4,835, OAg.AA
263E7-L7ALL REPAIR KIT 1 2,6A7,,746.OO 2,607,n746.OA
163A2-52092 GASKET 168,723.OO
1, 168,723,OA
HOSE HOSE 1 .60 .oa
261C7-62AOt HOSE 2 1,O57,253.OO 61 114,506.A6
Suh Total 57,690,266.OA

Lain Lain
Panls No Desc ription Qty Unit Price Amount
CONSUMABLE GOOD t 2,AAO,gAA.AO 2,OOA,OAA.OA
FABRIKASI AXLE ,L 6,OAO,AOO.OO 6,OAO,Om.OA

Sub Total 8,AAO,AOO.OA

Gnand Tbtal Bs,3:a,266.ao

PT Hexindo Adiperkase Tbk Kawasan lndustri PuLo Gadung Tet. [021] 4611688 Ww igxinOo-tbk.co.id
Jt. Puto Kambing ll Kav. I - ll No. 33 Fax. (0211 4611686
Jakarta, lndonesia 1 3930
 "lA HExtNDo JOB OROER SHEET

Customen: t273Bs
Page :

JI. lendnal Sudirman KM 4,5 PT.SURYA INTI SAh'IT KAHURIPAN

Mentawa Baru Hulu
Kotawanlngin Timur ?7432 Order No. : 553519O561 O
: @53:--329192
PHONE Receive Bate : 2711.0/2A23 L4:O4
FAJ( | O53t-12O92 Bnanch : 553 Sampit Senvice
Quotation No. 553QO9405 Engineer: 2491 NURJAYADI
SRQ No. r
Job Type: 1
Cust Onder{ NO. 0g62/aagglsIs- Field Senvlce
Request Date 281l.o/2s23 O0too Location:
Machine Model 4FC Z;W740 PARENGGEAN
Seria1 No. 4FCOOKOOOOB372
Englne Type
Serial No. 26727059
Fl.eet No.
Note a6 62 / OOeslS rS - Sr F /nAr / tA / 2023 Orden type: 1 Outside
Item I Job Infonmation Usen : SPT-NOFI_\ruLIS_S

oa61l
t-----------l
AXLE AND FAN MOTOR
REPATR
I

tiI
I
Parts Available.
t----
I Hour Meter Hrs
I
I Odometer km

I
I
I Date

Repain Infonmation hlay There Fnom

To

Job Hour From

To

Way Back .Fnom

To

Note

Perbaikan yang masih dikerjakan, KeluL;an Disetujui oleh Pe

Hanapan Pelanggan

PT Hexindo Adiperkasr Tbk Kawasan lndustri Puto Gadung Tet. [021] 4611688 www
Jt. Puto Kambing ll Kav. I - ll No. 33 Fax.10211 4611686 -[xindo
Jakarta, lndonesia 1 3930
 'tA HExlltDo JOB ORDER SHEET

Customen: L27585
Page :

JI. lendral Sudirman KM 4r5 PT.SURYA .INTI SAWIT KAHURIPAN

Mentawa Banu HuIu
Kotanaringin Timur 77432 Orden No. : 553519O551 O
:
PHONE O53t-32A92 Receive Date z 2717012O23 L4z@4
FAX : 6531-32O92 Branch : 553 Sampit Senvice
Quotation No. 5s3QAs4A6 Engineen: 3824 FATZ RAMDANI
SRQ No. Job Type: L
Cust Order N0. aa62/ooeglsrs- Field Service
Request Date 28/LO/2a23 OO:0O Location:
Machine Model 4FC ZWt4c^ PARENGGEAN
Senial No. 4FCOOKOOAAB372
Engine Type
Serial No. 267270s9
Fleet No.
Note ss6u aoss/srs -s r F /nAu t6 I 2023 Order type: 1 Outside
Item I l ob Infonmation User : SPT-NOFI_YULIS S
-----t--
saa2l REPATR AXLE AND FAN MOTOR
Parts Available.

Houn Meten Hns

Odometen km

Date

Repair Infonmation t{ay There I From tt

t-------t--
I
I To tt
Job Hour From I
-------t--
To I

hlay Back " Fnom

To

Note

_l1i:::: ___:11. i
Start I

Total I

Penbaikan yang maslh dikerjakan, Keluhan Disetujui oleh Pep[

Hanapan Pelanggan

PT Hexlndo Adiperkasa Tbk Kawasan lndustri Puto Gadung Tet. [021] 4611688
Jt. Puto Kambing ll Kav. I - ll No. 33 Fax. [021] 4611686
Jakarta, lndonesia 13930
 A
PAGE :
]OB ORDER SHEET
HExrNDo
Customen: L27585
Jl. Jehdral Sudinman KM 4,5 PT.SURYA .TNTI SAWIT KAHURIPAN
Mentawa Banu Hulu
Kotawaringin Timur 77432 OndenNo. : 553519O561 O
PH0NE : O53!-32O92 : 27/tAl2OZ.3 1,4-.A4
Receive Date
FAX : 4531-32A92 Branch : 553 Sampit Senvice
Quotation No. ss3Qog4A6
SRQ No. Job Type: L
Cust Order No. oa6z/qa98,/srs- Field Senvice
Request Date 28/$12023 Bb:6Q Location:
Machine Plodel 4FC zw!40 PARENGGEAN
Serial No. 4FCAORAAOAB372
Engine Type
Serial No. 26727059
F1eet No.
Note 0062laosf,/srs-srF/mA Onder type: 1 Outside
Item lt^l/H lLocatlonlContr. No lSerlat No. t Pants No. I Descniptlon lolQtyls/QtylR/Qty
aaza LAA lettozaot 264t3A2A7L PACKING 1 1
oo3a 700 I 264t1A2A7t PACKTNG 1 o
aa4g 7ga I na:oscoa 2641342031 BUSHTNG 7 1
aoSa 700 264t30207t PACKING 1 a
oa6a 7AO 264L302A31' BUSHTNG t o
oa70 700 2541302A41, NASHER;THRUST ! a
ao80 7AA t6421A2071 SEAL;OIL 4 a
goga 760 76423-02087 BRG, TAPER-ROLLE 4 o
\i,
oLaa 7AA t6323-5234L BRG, TAPER-ROLLE 4 o
otts 7AA ].6423021.42 D-RING 4 a
otza 700 !63C3-A2A2t D-RING 4 g
atSa 100 I eraoeuas t642362L81 SEAL 1 1
a74A 704 I 76423-O2L8t SEAL 3 a
4760 700 I 26382-L758.1 REPAIR KTT 7 o
atTg 7AA I 263E7-t70tt REPAIR KIT 1 a
atSa 700 I L634252092 GASKET L o
azaa tga loasa+nas 253C762001 HOSE 2 2
aata 556 I AXLE SUPPORT 1 o
6150 550 I FAN MOTOR t o
aL9A 7AA HOSE
I HOSE I 1 o
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I I
I
I
I I
I I

Perbaikan yang rnasih dikenjakan, Keluhan Disetujui. oleh Pelanggan

Hanapan Pelanggan
PI SURYAINTI SAWIT
KAHUR'PAM
PT Hexlndo Adiperkase Tbk Kawasan lndustri Futo Gadung Tet. (0211 t+orkl www.[xindo-tbk.co.id
Jt. Puto Kambing ll Kav.l- ll No. 33 Fax. [021] 4611686
Jakarta, lndonesia 1 3930
 =w

WORK ORDER
NOMOR : 0062/0098/Sl5-SlF/MAllI0/2023
TANGGAL: 2511O/2023

Nama PT. i Surya lnti Sawit Kahuripan Kepada:

Alarnat PT. I Desa Plantaran KM. 12, Campaga, Campaga HEXINDO ADIPERTASA TE& PT
KsHm 74354
JL.A. YAI'll. KM 23 BANJARMASIN - KALIMANTAN SELATAN
Telp/Fax -t" : TelplFax: 0511-4706056, , I 0511-4706057, ,
No. r,lPWf 02.190.217,6.073,000
: AttnJamal
Alarnat PKP Jl. KH. Wahid Hasyim No. 1"88-1S0, Kampung
:

Bali,Tanah AbangJak-Pus 10250

I-aTa unft 5F jlff .hil ..,,,.r.,.-.

Wheel Loader 02 Wheel Loader ZW-140
Kode unit: 54ABTWL02
URAIAil PEKEB,AATiI 5AT JUMLAH .,I{lqigDB}:
SATUAN DtsKoN{%l TOTAL
Service Wheel Loader Zw-14O {BQ Terlat pirl
Spare Par[ 16l 1.00
!s:!s-q.266:00 1$,
_ 'i
55,836,726,10
"_
-l*rt 1,00 x9,650.O00,00 19.650.800,00
Jasa

SUB TOTAL: 15,485.726,10

5
DISKON TAMBAHAT.I! 0,o0
PPt{ l1Vo: 8,303.539,87
BIAYA LAIN-LAIN! 0,s0
, GRANDTOTALI 89.790,265r97
Terbilang:
Delapan Puluh Tiga Juta Tujuh Ratus Sembilan Puluh Rlbu Dua Ratus Enam Puluh Lima Koma Sembilan Puluh Tujuh Rupiah

Waktu Pelaksanaan r
Segera setelah terima Surat Perintah (eria {1 minggu}

Syarat Pembayaran :
30 hari setelah terima nctalinvoice asli & dokumen lainnya

Alamat Penagihan :
PT, surya lnti Sawit Kahuripan Jl. KH Wahid ,Hasyim No. 188-190 iEkarta Pusat 10250 Up, ACCOUNTING DEPARTMENT

Lokasl penge{aan :
workshop PT HEXINDO ADIPERKT€ATB

Keterangafl Lain lain r

Garansi 6 bulan {3000 jaml sejak tanggal sYela1
l:keriaan.

,ffiH
l(
printed by Derita Meliana Sitqrus Page I from 1 printed da?ei 2711*12023 0g:27:34

.1
 u:r-

ffi Hil:Hso
PARTS & SERVICE
PT Hexindo Adiperkasa Tbk

Entry lD: 12952

rtrrii.ir,lrirri '< I nrrrai@hexindo-tit..".il I "-;, Branch

g61s11gra =
ffiifi rl ll iiBtibj*.
PARTS - PARTS DISCOUNT

llilt t.ilt:aa::..:
116! :t
127585-PT.SURYA INTI SAWIT KAHURIPAN 553Q09406

REV-553O09406-ZW.pdf ij'

approved

;- Bigtiii;=:==. iir=,'. .,.il d#nl:,,i,:iitll!ffi.qg..."7iiilt l';il--

Tri Mulyanto: 10127 12023 at 8:28 pm Makin group, add forecast Service Sales, need
CSS/CSF
support to get deal.
Branch Head Suhandoyo Suhandoyo: 1013012023 at 8:2L am Approved
BSS HO Teguh Setiawan: L013012023 at 8:08 pm PL Calculation attached.
Sugeng Purnomo: L013012023 at 8:37 pm Recommended to get this discount part
total is 15% from normal price & exclude Tax for QTN no. 553e09406 (part : bushing
ZWl40, bearing ,repair kit, packing , gasket , etc ) with minimum order around Rp
BSS Dept Head 49 mio , after discount 15% still get a medium profit , to increase sales please
support it, for PIC Branch please make sure QTN date hasn't expired yet when open
IO/OS, and no double discount for Promo parts, promo blibli, regular discount, etc.
Thank you
Dpty PS Sales Supp Div Head Muhammad Nasir: L0/30/2023 at 9:06 pm I have approved
rS Sales Supp Div Head 3inar Yustanto:1013712023 at7:26 am To Keeps sales opportunity.
)S Director

tt
 Paga

A HExrNDo TO 127585
PT.SURYA

lL.
INTI SAfiIIT KAI{'RIPAT{

KH. htAHID HASyIlt !tO. 188-1S.

,1. Iendnal. Sudlnnan Klil 4,5 KA}tru}re BALX TAM}I A8A'6 JAI(AR
Fkntaua Earu llulu TA PtflBAT IT(I ]AIGRTA RAYA
Xotaarlrqin Tlmr 7743? IfiINffiSIA
PtlOl{E:_ e531-32692 PtSltE t QZI 39?6887
FAX : O531-32092 FAX :
ItlPtrlP : 91.385.957.4-8EL.gm t{PtrlP : 02.t9O.277 .6-07?.ffi9
QUOTATIOT{
Penmaran l{o. : 553Q99623
Tanggal : L6l9Elfil24
Customer Order l{o.:
Dengan honnat, Order Person :
Dengan lni kaml sampaikan penaxaran perbalkan / peraxatan a.Lat sbb :

ttodel & S/N Alat z ZWI.M 4FGffiKf,f,a/b8372

a. fenls PekerJaan : PART ORDER OilLY

b. Estimasi biaya
1.lasa Service RP .6e
2.farak Tempuh RP .OA
3.Suku Cadang RP 25,le6,l4S.OO
4.Lain lain RP .W
Amount RP 251296r?,4g.qA
PPN 11X RP 2,772,697.OO

Total Rp 27,979r935.OQ

c. Estimasl raktu penyelesalan perbaikan : hari kalenden

Ketentuan / Persyaratan laLn :
1. Penawaran berlaku sampai dengan tanggal z t6leZlZtOZ4
2. Garansi servlce terbatas pada pekerJaan yang dilaksanakan saJa.
3. Pembayaran tlang muka lrsisa harl. seterah pekerJaan selesal
4. Penyimpangan darl estimsl tsb dlatas,diatur dalam koninaklpo

Demlkian pensrxaran kamL,semoga berkenan dan segata hal yang mnngkin

kurang Jelas,dengan senang hati kami akan menJelaskan slcaFa. rtnei.
kami menunggu konflrmasi,/persetuJuan dan sebel.Lwrya kami ucapkan teriaa
Kaslh atas perhatlan dan kepercayaan yang dibertkin.

Hormat l(*i,
ut,( ) D{tunda. PT.HEXI]SX} ADTPERIfiSA TbK

KAHURIPAil

(Suhandoyo
;T Tangan & Sterpel Branch Head

PT Hexindo Adiperkasa Tbk I Kawasan lndustri Puto Gadung Tet. [021) 4611688 www. hexi ndo-tbk.co.id
I Jt. Puto Kambing ll Kav. I - ll No. 33 Fax. [021] 4611686
Jakarta, lndonesia 13930 *
r
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HEXIHDO
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xo. PolsPx eust*r : 0062/0098/ sIs-slr,/llnI/ 1o/ 2023 E*pedrri r - I*dea3rtr
tlo. .rolos :553s19O561 Horer 8ca{ l tS e:eedicil
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t'.*raf 3 farnS H6rah r saratlous€-
ledr 'i narna nrnLug r partc oounter / s6rric6 t(bin
lemUar 5 IaEn. Eljau ! psnlt&kanik/Ekrpedkl

PT Hexindo Adiperkasa Tbk Kawasan lndustri Puto Gadung Tet. [021) 4611688
Kambing ll Kav. I - ll No. 33
JL. Puto Fax. [021] 4611686
Jakarta, lndonesia 13930