Certificate NewPPN

CERTIFICATE
FOR PAYMENT
PROJECT:
LOSARI COFFEE PLANTATION RESORT AND SPA
CERTIFICATE NO.:
LS\01
DATE OF ISSUANCE:
20 July 1999
PROJECT NO.:
10
CONTRACTOR:
PT. ALKONUSA INTI DAYA
CONTRACT FOR:
LOSARI COFFEE PLANTATION RESORT & SPA
(Name, Address) LOSARI KEBON KOPI, GRABAG
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

SETIA BUDI BUILDING I, 4 FL, BLOCK D-2
JL. H.R. RASUNA SAID, KUNINGAN
JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
In accordance with this Contract and the attached Application for payment date July 20, 1999, ref.No.003/LP-I/ALINDA/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.
DEDUCTION RP.
Change order approved in previous
a. Original Contract
months by Employer - TOTAL
2,500,000,000.00
100.00%
0.00%
2,500,000,000.00
100.00%
before PPN 10%

b. Total approved VO
Update contract value
SUBSEQUENT CHARGE ORDER

NUMBER
APPROVED
V.O.
(DATED)
before PPN 10%

0.00
0.00%
d. This Month Progress
c. Last Progress
126,849,142.34
5.07%
e. Achieved progress (d - c)
126,849,142.34
5.07%
f. Deduct advanced payment
-25,369,828.47
( - e% x DP.)
g. Retention 5%
-6,342,457.12
( - 5% x e.)
h. Total
95,136,856.76
(e+f+g)
9,513,685.68
( 10% x h )
104,650,542.43
( h + i. )
i. Add 10% PPN

Total recommended to be paid
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. CARATWARSA HANGANDANA
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
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.
Teruskan
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
In accordance with this Contract and the attached Application for payment date August 03, 1999, ref.No.009/LP-I/ALINDA/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.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%


NUMBER
APPROVED
V.O.
(DATED)
2,500,000,000.00
before PPN 10%

c. Last Progress
126,849,142.34
218,608,700.84
91,759,558.50
-18,351,911.70
g. Retention 5%
-4,587,977.93
h. Total
68,819,668.88
i. Add 10% PPN
6,881,966.89
75,701,635.76
By word:
Ninety six million three hundred fifty two
thousand and six hundred eighty five rupiah
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
OFFEE PLANTATION RESORT & SPA
A/VIII/1999, the Contractor is
100.00%
0.00%
100.00%
5.07%
8.74%
3.67%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
ny rights of the Employer or Contractor
completed DOES NOT ACCOMPANY
s, that all amounts have been paid for
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%


NUMBER
APPROVED
V.O.
(DATED)
2,500,000,000.00
before PPN 10%

c. Last Progress
218,608,700.84
403,300,807.92
184,692,107.08
-36,938,421.42
g. Retention 5%
-9,234,605.35
h. Total
138,519,080.31
i. Add 10% PPN
13,851,908.03
152,370,988.34
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
100.00%
0.00%
100.00%
8.74%
16.13%
7.39%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%


NUMBER
APPROVED
V.O.
(DATED)
2,500,000,000.00
before PPN 10%

c. Last Progress
403,300,807.92
867,598,379.47
464,297,571.55
-92,859,514.31
g. Retention 5%
-23,214,878.58
h. Total
348,223,178.66
i. Add 10% PPN
34,822,317.87
383,045,496.53
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
100.00%
0.00%
100.00%
16.13%
34.70%
18.57%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%


NUMBER
APPROVED
V.O.
(DATED)
2,500,000,000.00
before PPN 10%

c. Last Progress
867,598,379.47
1,024,767,088.04
157,168,708.57
-31,433,741.71
g. Retention 5%
-7,858,435.43
h. Total
117,876,531.43
i. Add 10% PPN
11,787,653.14
129,664,184.57
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
100.00%
0.00%
100.00%
34.70%
40.99%
6.29%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-31,841,777.50

NUMBER
APPROVED
V.O.
(DATED)
2,468,158,222.50
before PPN 10%

c. Last Progress
1,024,767,088.04
1,083,393,310.85
58,626,222.81
-11,876,512.27
g. Retention 5%
-2,931,311.14
h. Total
43,818,399.40
i. Add 10% PPN
4,381,839.94
48,200,239.34
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
101.29%
-1.29%
100.00%
41.52%
43.89%
2.38%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-31,841,777.50

NUMBER
APPROVED
V.O.
(DATED)
2,468,158,222.50
before PPN 10%

c. Last Progress
1,083,393,310.85
1,124,790,971.26
41,397,660.41
-8,386,346.55
g. Retention 5%
-2,069,883.02
h. Total
30,941,430.84
i. Add 10% PPN
3,094,143.08
34,035,573.92
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
101.29%
-1.29%
100.00%
43.89%
45.57%
1.68%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-351,728,344.58

NUMBER
APPROVED
V.O.
(DATED)
2,148,271,655.42
before PPN 10%

c. Last Progress
1,124,790,971.26
1,152,596,638.80
27,805,667.54
-6,471,636.74
g. Retention 5%
-1,390,283.38
h. Total
19,943,747.42
i. Add 10% PPN
1,994,374.74
21,938,122.17
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
116.37%
-16.37%
100.00%
52.36%
53.65%
1.29%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-351,728,344.58

NUMBER
APPROVED
V.O.
(DATED)
2,148,271,655.42
before PPN 10%

c. Last Progress
1,152,596,638.80
1,212,847,243.36
60,250,604.56
-14,023,041.36
g. Retention 5%
-3,012,530.23
h. Total
43,215,032.97
i. Add 10% PPN
4,321,503.30
47,536,536.27
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
116.37%
-16.37%
100.00%
53.65%
56.46%
2.80%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-351,728,344.58

NUMBER
APPROVED
V.O.
(DATED)
2,148,271,655.42
before PPN 10%

c. Last Progress
1,212,847,243.36
1,850,999,269.25
638,152,025.89
-148,526,845.82
g. Retention 5%
-31,907,601.29
h. Total
457,717,578.78
i. Add 10% PPN
45,771,757.88
503,489,336.65
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
116.37%
-16.37%
100.00%
56.46%
86.16%
29.71%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-351,728,344.58

NUMBER
APPROVED
V.O.
(DATED)
2,148,271,655.42
before PPN 10%

c. Last Progress
1,850,999,269.25
1,996,245,406.92
145,246,137.67
-33,805,347.03
g. Retention 5%
-7,262,306.88
h. Total
104,178,483.75
i. Add 10% PPN
10,417,848.38
114,596,332.13
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
116.37%
-16.37%
100.00%
86.16%
92.92%
6.76%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-351,728,344.58

NUMBER
APPROVED
V.O.
(DATED)
2,148,271,655.42
before PPN 10%

c. Last Progress
1,996,245,406.92
2,087,849,991.26
91,604,584.34
-21,320,530.88
g. Retention 5%
-4,580,229.22
h. Total
65,703,824.24
i. Add 10% PPN
6,570,382.42
72,274,206.67
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
116.37%
-16.37%
100.00%
92.92%
97.19%
4.26%
( - e% x DP.)
Teruskan
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Teruskan
CERTIFICATE
FOR PAYMENT
PROJECT:
CERTIFICATE NO.:
LS\02
DATE OF ISSUANCE:
03 August 1999
PROJECT NO.:
10
CONTRACTOR:
CONTRACT FOR:
MAGELANG, JATENG
TO:
(Employer)
PT. LUPITA AMANDA

JAKARTA - INDONESIA
PROJECT PHASE I
CONTRACT DATE:
28 JUNE 1999
ADDITION RP.
DEDUCTION RP.
2,500,000,000.00
before PPN 10%

-351,728,344.58

NUMBER
APPROVED
V.O.
(DATED)
2,148,271,655.42
before PPN 10%

c. Last Progress
2,087,849,991.26
2,148,271,655.42
60,421,664.16
-50,636,321.74
g. Retention 5%
-3,021,083.21
h. Total
6,764,259.22
i. Add 10% PPN
676,425.92
7,440,685.14
By word:
TOTAL
SUPERVISOR:
CONTRACTOR:
EMPLOYER:
PT. LUPITA AMANDA
Signed:
Signed:
Signed:
Name:
Name:
Name:
Date:
Date:
Date:
RTIFICATE
R PAYMENT
116.37%
-16.37%
100.00%
97.19%
100.00%
2.81%
( - e% x DP.)
Oke
( - 5% x e.)
(e+f+g)
( 10% x h )
( h + i. )
Oke
Certificate Payment ( PPN )
No.
%
1
2
3
4
5
6
7
8
9
10
11
12
13
5.07%
3.67%
7.39%
18.57%
6.29%
2.38%
1.68%
1.29%
2.80%
29.71%
6.76%
4.26%
2.81%
Total
Progress
Nilai (Rp)
126,849,142.34
91,759,558.50
184,692,107.08
464,297,571.55
157,168,708.57
58,626,222.81
41,397,660.41
27,805,667.54
60,250,604.56
638,152,025.89
145,246,137.67
91,604,584.34
60,421,664.16
92.69% 2,148,271,655.42
Pot. Uang Muka

( Rp )
25,369,828.47
18,351,911.70
36,938,421.42
92,859,514.31
31,433,741.71
11,876,512.27
8,386,346.55
6,471,636.74
14,023,041.36
148,526,845.82
33,805,347.03
21,320,530.88
50,636,321.74
Pot. Retensi
( Rp )
Total
( Rp )
Ppn 10%
( Rp )
6,342,457.12
4,587,977.93
9,234,605.35
23,214,878.58
7,858,435.43
2,931,311.14
2,069,883.02
1,390,283.38
3,012,530.23
31,907,601.29
7,262,306.88
4,580,229.22
3,021,083.21
95,136,856.76
68,819,668.88
138,519,080.31
348,223,178.66
117,876,531.43
43,818,399.40
30,941,430.84
19,943,747.42
43,215,032.97
457,717,578.78
104,178,483.75
65,703,824.24
6,764,259.22
9,513,685.68
6,881,966.89
13,851,908.03
34,822,317.87
11,787,653.14
4,381,839.94
3,094,143.08
1,994,374.74
4,321,503.30
45,771,757.88
10,417,848.38
6,570,382.42
676,425.92
500,000,000.00 107,413,582.77
1,540,858,072.65
154,085,807.26
Uraian
Nilai (Rp.)
Kontrak
2,500,000,000.00
500,000,000.00 125,000,000.00
1,875,000,000.00
187,500,000.00
VO
-351,728,344.58
0.00 -17,586,417.23
-334,141,927.35
-33,414,192.74
Total
2,148,271,655.42
500,000,000.00 107,413,582.77
1,540,858,072.65
154,085,807.26
0.00
0.00
Selisih
0.00
DP 20%
Retensi 5%
0.00
0.00
Yg harus dibayarkan
Ppn 10%
Total
( Rp )
Total Pot.
Uang Muka s/d
104,650,542.43
75,701,635.76
152,370,988.34
383,045,496.53
129,664,184.57
48,200,239.34
34,035,573.92
21,938,122.17
47,536,536.27
503,489,336.65
114,596,332.13
72,274,206.67
7,440,685.14
25,369,828.47
43,721,740.17
80,660,161.58
173,519,675.89
204,953,417.61
216,829,929.87
225,216,276.43
231,687,913.17
245,710,954.53
394,237,800.35
428,043,147.38
449,363,678.26
500,000,000.00
1,694,943,879.91
-50,636,321.74
Total
2,062,500,000.00
-367,556,120.09
1,694,943,879.91
0.00
Total
104,650,542.43
180,352,178.19
332,723,166.53
715,768,663.06
845,432,847.63
893,633,086.98
927,668,660.89
949,606,783.06
997,143,319.33
1,500,632,655.98
1,615,228,988.11
1,687,503,194.78
1,694,943,879.91

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CERTIFICATE

LOSARI COFFEE PLANTATION RESORT AND SPA

PT. ALKONUSA INTI DAYA

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

PT. LUPITA AMANDA

Change order approved in previous

months by Employer - TOTAL

before PPN 10%

SUBSEQUENT CHARGE ORDER

before PPN 10%

d. This Month Progress

f. Deduct advanced payment

i. Add 10% PPN

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

LOSARI COFFEE PLANTATION RESORT AND SPA

PT. ALKONUSA INTI DAYA

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

PT. LUPITA AMANDA

Change order approved in previous

months by Employer - TOTAL

before PPN 10%

Update contract value

before PPN 10%

d. This Month Progress

f. Deduct advanced payment

i. Add 10% PPN

Total recommended to be paid

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

LOSARI COFFEE PLANTATION RESORT AND SPA

PT. ALKONUSA INTI DAYA

LOSARI COFFEE PLANTATION RESORT & SPA

(Name, Address) LOSARI KEBON KOPI, GRABAG

PT. LUPITA AMANDA

Change order approved in previous

months by Employer - TOTAL

before PPN 10%

Update contract value

before PPN 10%

d. This Month Progress

f. Deduct advanced payment

i. Add 10% PPN

Total recommended to be paid

PT. CARATWARSA HANGANDANA

PT. ALKONUSA INTI DAYA

PT. LUPITA AMANDA

OFFEE PLANTATION RESORT & SPA

A/VIII/1999, the Contractor is

ny rights of the Employer or Contractor

completed DOES NOT ACCOMPANY

s, that all amounts have been paid for

LOSARI COFFEE PLANTATION RESORT AND SPA

PT. ALKONUSA INTI DAYA

LOSARI COFFEE PLANTATION RESORT & SPA