PT.

ROA TI - PMA No Form FM-PCS-001

Jl. Semampir Tengah No. 43, Kel. Medokan
Semampir, Kec. Sukolilo, Surabaya - 60119
PURCHASE ORDER
Supplier Name : PT. UNIVERSAL BROADBAND
Date : 17-APR-17
No. Telp. : 031-827 0958
No. P O : 0003/PO/04/2017 No. Fax. : 0318270958
Cost Center : NPWP :
Currency : Rp

No Description Part Number /Specification PPh 23 Unit Quantity Unit Price Amount
1 Installasi Internet - IT 0.00 Jasa 1.00 2,500,000.00 2,500,000.00
2 Paket Internet 3 Mbps - IT 0.00 Bln 1.00 1,000,000.00 1,000,000.00

Please Delivery to : Delivery Date 02-MAY-17 Total Gross 3,500,000.00

Payment Term 15 Day(s) Discount .00 % .00
PPh22 % .00
TYPE Transfer
From TT Kasir Gross Amount 3,500,000.00
PPN % .00

Accounting : PPh23 0.00

- PO Number must appear in the invoice and delivery Note (Surat Jalan) Down Payment
- Our Tax Number must appear in tax invoice NET AMOUNT 3,500,000.00
Upon receipt goods, a quality check will done, if the quality, does note meet you requirement or specification, the goods will by rejected immediately.
Best Regards, Approved, Acknowledged,
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This Document No Need Signature, Print : 17/04/2017 14:06:38 poform: Rz.170320.ROA