Certificate NewNonPPN

CERTIFICATE FOR PAYMENT
PROJECT: LOSARI COFFEE PLANTATION RESORT AND SPA (Name, Address) LOSARI KEBON KOPI, GRABAG
CERTIFICATE NO.: DATE OF ISSUANCE: PROJECT NO.: CONTRACTOR: CONTRACT FOR: CONTRACT DATE: LS\01N
MAGELANG, JATENG
TO: (Employer) PT. LUPITA AMANDA SETIA BUDI BUILDING I, 4 FL, BLOCK D-2 JL. H.R. RASUNA SAID, KUNINGAN JAKARTA - INDONESIA
20 July 1999
10 BP. ANDY PRASETYO LOSARI COFFEE PLANTATION RESORT & SPA PROJECT PHASE I 28 June 1999
In accordance with this Contract and the attached Application for payment date July 20, 1999, ref.No. 002/LP-I/VII/1999, the Contractor is entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER before PPN 10% c. Last Month Progress NUMBER V.O. APPROVED (DATED) d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 0.00 259,778,583.71 259,778,583.71 -51,955,716.74 -12,988,929.19 194,833,937.78 0.00% 9.99% 9.99% (-e% x DP.) (-5% x e.) (e+f+g) 0 2,600,000,000.00 0.00% 100.00% 2,600,000,000.00 100.00%
By word: Thirty four million nine hundred ninety seven thousand and fifty rupiah TOTAL SUPERVISOR: PT. CARATWARSA HANGANDANA CONTRACTOR: EMPLOYER: PT. LUPITA AMANDA
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
This certificate is negotiable. It is payable only to the payee herein and its issuance, payment and acceptance are without prejudice to any rights of the Employer or Contractor under their contract. If application for payment or other application form containing satisfactory evidence of payment for work previously completed DOES NOT ACCOMPANY THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following: The undersigned that the works covered by this Certificate for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid for for which previous Certificate for Payment issued and payments received, and that the current payment shown herein is now due.

MAGELANG, JATENG
03 August 1999
In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No. 010/LP-I/VIII/1999, the Contractor is entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows:
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 259,778,583.71 488,455,432.91 228,676,849.20 -45,735,369.84 -11,433,842.46 171,507,636.90 9.99% 18.79% 8.80% (-e% x DP.) (-5% x e.) (e+f+g) 2,600,000,000.00 0.00% 100.00% 2,600,000,000.00 100.00%
By word: Seventy seven million three hundred sixty three thousand and sixty hundred rupiah TOTAL SUPERVISOR: PT. CARATWARSA HANGANDANA 0.00 CONTRACTOR: EMPLOYER: PT. LUPITA AMANDA
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 488,455,432.91 849,921,363.77 361,465,930.86 -72,293,186.17 -18,073,296.54 271,099,448.15 18.79% 32.69% 13.90% (-e% x DP.) (-5% x e.) (e+f+g) 2,600,000,000.00 0.00% 100.00% 2,600,000,000.00 100.00%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 849,921,363.77 1,180,282,726.50 330,361,362.73 -66,072,272.55 -16,518,068.14 247,771,022.05 32.69% 45.40% 12.71% (-e% x DP.) (-5% x e.) (e+f+g) 2,600,000,000.00 0.00% 100.00% 2,600,000,000.00 100.00%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 1,180,282,726.50 1,246,205,440.15 65,922,713.65 -13,184,542.73 -3,296,135.68 49,442,035.24 45.40% 47.93% 2.54% (-e% x DP.) (-5% x e.) (e+f+g) 2,600,000,000.00 0.00% 100.00% 2,600,000,000.00 100.00%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 1,246,205,440.15 1,482,470,326.12 236,264,885.97 -40,389,260.75 -11,813,244.30 184,062,380.92 40.97% 48.74% 7.77% (-e% x DP.) (-5% x e.) (e+f+g) 441,841,777.50 3,041,841,777.50 14.53% 100.00% 2,600,000,000.00 85.47%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 1,896,520,724.90 2,293,129,810.37 396,609,085.47 -50,374,018.10 -19,830,454.27 326,404,613.10 46.32% 56.01% 9.69% (-e% x DP.) (-5% x e.) (e+f+g) 1,494,109,071.36 4,094,109,071.36 36.49% 100.00% 2,600,000,000.00 63.51%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Teruskan Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 2,293,129,810.37 3,276,793,162.47 983,663,352.10 -117,034,979.29 -49,183,167.61 817,445,205.20 56.01% 80.04% 24.03% (-e% x DP.) (-5% x e.) (e+f+g) 1,494,109,071.36 4,094,109,071.36 36.49% 100.00% 2,600,000,000.00 63.51%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Oke Teruskan

MAGELANG, JATENG
03 August 1999
ADDITION RP. Change order approved in previous months by Employer - TOTAL DEDUCTION RP. a. Original Contract before PPN 10% b. Total approved VO Update contract value SUBSEQUENT CHARGE ORDER NUMBER V.O. APPROVED (DATED) before PPN 10% c. Last Month Progress d. This Month Progress e. Achieved progress (d - c) f. Deduct advanced payment g. Retention 5% Total recommended to be paid 3,276,793,162.47 3,665,323,518.40 388,530,355.93 0.00 -19,426,517.80 369,103,838.13 80.04% 89.53% 9.49% (-e% x DP.) (-5% x e.) (e+f+g) 1,494,109,071.36 4,094,109,071.36 36.49% 100.00% 2,600,000,000.00 63.51%
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Oke Teruskan

MAGELANG, JATENG
03 August 1999
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Oke Teruskan

MAGELANG, JATENG
03 August 1999
Signed: Name: Date:
Signed: Name: Date:
Signed: Name: Date:
Oke Oke
Certificate Payment ( Non PPN )
No. %
Progress Nilai (Rp)
Pot. Uang Muka Pot. Retensi ( Rp ) ( Rp )
Total ( Rp )
Total Pot. Uang Muka s/d
1 2 3 4 5 6 7 8 9 10 11 12 13 Total
9.99% 8.80% 13.90% 12.71% 2.54% 7.77% 3.45% 8.66% 9.69% 24.03% 9.49% 5.62% 4.85%
259,778,583.71 51,955,716.74 228,676,849.20 45,735,369.84 361,465,930.86 72,293,186.17 330,361,362.73 66,072,272.55 65,922,713.65 13,184,542.73 236,264,885.97 40,389,260.75 104,918,253.57 17,935,677.08 309,132,145.21 45,024,976.75 396,609,085.47 50,374,018.10 983,663,352.10 117,034,979.29 388,530,355.93 0.00 230,200,195.63 0.00 198,585,357.33 0.00
12,988,929.19 11,433,842.46 18,073,296.54 16,518,068.14 3,296,135.68 11,813,244.30 5,245,912.68 15,456,607.26 19,830,454.27 49,183,167.61 19,426,517.80 11,510,009.78 9,929,267.87
194,833,937.78 171,507,636.90 271,099,448.15 247,771,022.05 49,442,035.24 184,062,380.92 81,736,663.81 248,650,561.20 326,404,613.10 817,445,205.20 369,103,838.13 218,690,185.85 188,656,089.46 3,369,403,617.79 Yg harus dibayarkan 1,950,000,000.00 1,419,403,617.79 3,369,403,617.79 0.00
51,955,716.74 97,691,086.58 169,984,272.75 236,056,545.30 249,241,088.03 289,630,348.78 307,566,025.86 352,591,002.61 402,965,020.71 520,000,000.00 520,000,000.00 520,000,000.00 520,000,000.00
121.48% 4,094,109,071.36 520,000,000.00 204,705,453.57 Nilai (Rp.) DP 20% Retensi 5%
Uraian Kontrak VO Total Selisih
2,600,000,000.00 520,000,000.00 130,000,000.00 1,494,109,071.36 0.00 74,705,453.57
4,094,109,071.36 520,000,000.00 204,705,453.57 0.00 0.00 0.00
Total
194,833,937.78 366,341,574.68 637,441,022.83 885,212,044.88 934,654,080.11 ############## ############## ############## ############## ############## ############## ############## ##############

Certificate NewNonPPN

Загружено:

Сведения о документе

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

Certificate NewNonPPN

Загружено:

Авторское право:

Доступные форматы

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

CERTIFICATE FOR PAYMENT

Signed: Name: Date:

Signed: Name: Date:

Signed: Name: Date:

Certificate Payment ( Non PPN )

Progress Nilai (Rp)

Pot. Uang Muka Pot. Retensi ( Rp ) ( Rp )

Total Pot. Uang Muka s/d

121.48% 4,094,109,071.36 520,000,000.00 204,705,453.57 Nilai (Rp.) DP 20% Retensi 5%

Uraian Kontrak VO Total Selisih

2,600,000,000.00 520,000,000.00 130,000,000.00 1,494,109,071.36 0.00 74,705,453.57

4,094,109,071.36 520,000,000.00 204,705,453.57 0.00 0.00 0.00

Вам также может понравиться