SERVICE RECEIPT PI Ypj Agustus 2021

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SERVICE RECEIPT

_______________________________________________________
No : PI-ZI00001213-002 Version : 001
Date : 19 August 2021
(This is the latest version and any previous versions of that document should be disregarded)

To Contract Person

Contractor ID No : 0000124127
Contract No : TP1200452-001
Name : PT KIAVANNA LESTARI
Address : JL C HEATUBUN KWAMKI BARU Work Authorization
ZI00001213
No :
Email : [email protected]
  Contact Person 1: MARK JENKINS

Phone No : 546-2309

Email : [email protected]

Contact Person 2: MARK JENKINS

Phone No : 546-2309

Email : [email protected]

With reference to the above Work Authorization and Contract covering the Work Authorization, PT Freeport Indonesia
acknowleges receipt of the following :
 
Cleaning Service Fee For SD,SMP YPJ KK August 2021
Unit Of
Description Quantity Unit Rate Extended amount
Measurement
New rate - service fee (01 October
0.900 MON Rp. 95,450,000.00 Rp. 85,905,000.00
2020)
Total AmountRp. 85,905,000.00
Total AmountUS$ 6,004.76
Please submit an Invoice or a Reimbursement Note in the exact amount of above-value stated.
 
Yours faithfully,
PT Freeport Indonesia
 
 
This is a system-generated document. No signature is required.
 
Notes:
1. If you have performed the services and submitted invoices for the services / reimbursable already, or been paid for the
services / reimbursable, this Service Receipt shall then be considered null and void.
2. If billing of this Service Receipt is for services, please submit one (1) Invoice against this Service Receipt, complete with
supporting documents, such as Time Sheets, substantiating completion of the service.
3. If billing of this Service Receipt is for permissible reimbursable expenses, please submit one (1) Reimbursement Note against
this Service Receipt. Please note that attachment of original supporting documents, such as ticket stubs, to the
Reimbursement Note is MANDATORY. Failure to attach original supporting documents may result in non-payment of the
submitted Reimbursement Note.
4. The Invoice / Reimbursement Note MUST make reference to the Contract # AND the Work Authorization #. PT Freeport
Indonesia’s Accounting will return the Invoice or the Reimbursable. Note that do not have said required reference.
5. If the Service Receipt is deemed incorrect, you are to notify and advise the Contact Person prior to submitting the Invoice /
Reimbursement Note.
6. Indonesian or Indonesian-resident contractors should attach a VAT invoice (Faktur Pajak PPn).

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