Fin 2 Ii 2023

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INVOICE

Perumahan Bumipala Vida Bekasi. DATE 28/02/2022


Gedung Startup Jalan Alun-alun Utara 181602-FIN-2-II-2023
INVOICE #
Kel. Padurenan Kec. Mustikajaya
Bekasi Timur 17156 CUSTOMER REF
Kota. Bekasi Jawa Barat Indonesia DUE DATE 30/03/2023
Phone: 021-29372308
Fax:
Email: [email protected]
Website: www.waste4change.com

BILL TO

rePurpose Global, Inc.


2196 Th ird A ve PMB 201222 , Ne w Yor k,
N Y 10035

DESCRIPTION UNIT PRICE QTY TAXED AMOUNT ($)


($)
Service fee for collection: Soft plastics such as 11.250 1 X 11.250
LDPE processed in recycling units for
“W4C017”.

50% advance of TOR value payable 1st invoice


for processing 75.000 kgs.

OTHER COMMENTS Subtotal (Tax Included) 11.250


In the news, bank transfers must be included with the
Company/Agency/Individual Name
- Interbank Transfers Fees are borne by the sender
- Payment is expected to be transferred to our
account :

Bank acc Number : 543800001132 Total in words:


Beneficiary Name : PT. Wasteforchange Alam ELEVEN THOUSAND TWO
Indonesia HUNDRED FIFTY DOLLAR
Bank Name : PT BANK OCBC NISP TBK
Bank Address : Jl. Cideng Timur No. 60 Jakarta
Yours Faithfully
Pusat, Kota Jakarta Pusat, DKI Rizal Wahyu Aji
Jakarta-10160
Bank Code : 028
Branch Code : 2579
Swift Code : NISPIDJA

\

2196 Third Ave PMB 20122,
New York, NY 10035

TERMS OF REFERENCE (ToR)

Order by: Order to: ToR number: W4C017

rePurpose Waste 4 change Start Date: 01/03/2023


rePurpose Global, Inc PT. Wasteforchange Alam Indonesia
Delivery Date: 31/03/2023
2196 Third Ave PMB 20122 Bursa Efek Indonesia Tower
New York, NY 10035 Building II, 17th Floor, Jl. Jendral Duration: 1 Month
United States Sudirman Kav. 52-53, Senayan,
Location: West Java,
Kebayoran Baru, Jakarta Selatan,
Jakarta 12190, Indonesia Indonesia

rePurpose Project Manager: Waste 4 change Manager:


Vinay Sharma Rizky Ambardi
[email protected] [email protected]

SN Item Description Quantity(kg) Unit Amount ($)


price($)

Service fee for collection and ethical 150,000 $0.15 $22,500


1
processing of low value plastics such
as flexible plastic bags (LDPE, HDPE) to
be processed in recycling units

Total 150,000 $22,500

Additional Notes:
1. This TOR is issued for generation of Verra Credits under Verra Project and all
conditions mentioned in the Plastic Credit Purchase Agreement (Ref -
W4C/RP/21022023/v1) dated 23rd February 2023 will be applicable.

2. All project parameter and documentation to be fulfilled as listed as per the link
HERE.
3. Project completion is subjected to successful submission and verification of
traceability documents under corresponding ToR in reTrace
4. Release of new ToR and payments are subjected to successful completion of
previous ToRs

Document Ref: MSBSS-IEG66-XTPQK-B992E Page 1 of 2



2196 Third Ave PMB 20122,
New York, NY 10035

Terms & Conditions:


1. 50% advance of ToR value payable on:
a. Acceptance of the ToR on reTrace
b. Signed ToR on Panda Docs
c. Receipt of a valid invoice within 1 week of acceptance.​ ​
d. Payment will be processed after verification within 7 business days.

2. Remaining balance payable on successful completion of project with:


a. Timely submission of valid collection and processing documentation of total
project volumes
b. Submission of the final invoice.

c. Payment will be processed after verification within 15 business days.

3. Invoices to be raised in USD $


4. Price to exclude all local taxes
5. Waste 4 Change agrees to support any specific documentation needed to prove the
recovery and recycling of proposed plastic streams under this TOR as part of Verra
verification and validation.

For rePurpose Global, Joel Fernandes


Inc

(Name and Signature)

For PT. Rizky Ambardi


Wasteforchange Alam
Indonesia

(Name and Signature)

Date 24 February 2023

Document Ref: MSBSS-IEG66-XTPQK-B992E Page 2 of 2


Signature Certificate
Reference number:
MSBSS-IEG66-XTPQK-B992E

Signer Timestamp Signature

Rizky Ambardi
Email:
[email protected]

Sent: 24 Feb 2023 13:03:29 UTC

Viewed: 24 Feb 2023 14:31:58 UTC

Signed: 24 Feb 2023 14:35:14 UTC

Recipient Verification: IP address:


125.160.234.139

✔Email verified 24 Feb 2023 14:31:58 UTC


Location:
Jakarta, Indonesia

Joel Fernandes
Email:
[email protected]

Sent: 24 Feb 2023 13:03:29 UTC

Viewed: 27 Feb 2023 15:14:06 UTC

Signed: 27 Feb 2023 15:14:42 UTC

Recipient Verification: IP address:


103.183.44.132

✔Email verified 27 Feb 2023 15:14:06 UTC


Location:
Mumbai, India

Document completed by all parties on:


27 Feb 2023 15:14:42 UTC

Page 1 of 1

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Waste4Change
Alun-alun Utara
Bumipala Vida Beka4 si
Mustika Jaya – Padurenan
Bekasi Timur 17156 Jawa Barat
Indonesia

BERITA ACARA SERAH TERIMA


No : 025-007-WAI-RBU-II-2023

Bekasi, 28 Februari 2023

Dengan hormat,

Pada hari Selasa, 28 Februari 2023 yang bertandatangan dibawah ini menerangkan bahwa:

Nama Pekerjaan Pengumpulan Asoy rePurpose


Pelaksanaan Pekerjaan Yoan Oktaviani

Dengan rincian sebagai berikut :

Deskripsi Jumlah Unit Durasi Unit Harga per Harga Total


unit

Pengumpulan 75.000 kg 1 Bulan $0.15 $11.250


Asoy W4C017
rePurpose

Demikian berita acara ini dibuat untuk digunakan dengan semestinya.


PIHAK PERTAMA PIHAK KEDUA
rePurpose Team PT WASTEFORCHANGE ALAM
INDONESIA

Vinay Yoan Oktaviani


Project Manager Partnership Management Lead

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