7/25/2019 MCB.0520

1/2

PT. CARSURIN

ll.

/ahmad Yan

Kl.4

21i5 Landasan Ulin,

Banjarbaru 70723,

Ka

imantnn Se atai INDoNESIA

Phone :+62,511.470,5849

Fax :

+62,s11.470,s880

Emai

:banjadaru@Guunn.com

NPWP 101,307,141.0-073.000

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Maitime Authotitv

|4ECHI'4AR COCHRAN BOILER,

PT

Attn. lv1r.

TAN

Cargo

:

34ZCRS-LAB/}r/15

25

lvlei

2015

sanpr code oate

Place

oes$ndiofl

tt.622ni20 SPENI

LEAI/E

May 25, 2015

GREN

& EI.AC(

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lSd

For

t

e Above Survey

I

Sd

x

USD 207.00

vAr

lo.m

%

(0r0.001-1s.85248979)

Tc,lal Fee Alter

Tax

( Two Hundd

Tvyenty

Sevm oollar

and

Seventy

Cents

)

USD

USD

207.00

20.70

U5D

227.70

Please remit

to Pl:

C-ARSURIN

BNI CABANG

17 KRAIIAT

ll, Kramat

Ra'

No. 154

156

]AKATIA PUSAI,

INDONESIA

swiii code:

BNINIDIA

a.munt No. : 00-10s,145,07

(lDR)

00-105445.18 (UsD)

E&EO

81M19437

Pavment

rs

due

14 daYs

from submi$ion

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lnvolce.

2d

montr v Dena

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(Dm6ted

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be applied

for

invoic

overdue'

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'n.lude

lhe Lnvoi@

number

upon

remittan.e.

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