PT IPC Terminal Petikemas No. Nota / Bill Number : 010.806.23-61.

000882
Kantor Pusat JL. PASOSO NO. 1, TANJUNG PRIOK, TANJUNG PRIOK, Tanggal / Date : 27-JUL-23
Head Office KOTA ADM. JAKARTA UTARA, DKI JAKARTA, 14310
NPWP 03.276.307.0-093.000 Nota sebagai faktur pajak
Tax ID berdasarkan Peraturan Dirjen Pajak
Nomor PER-13/PJ/2019 tanggal 2
Juli 2019
Member of PT. Pelabuhan Indonesia (Persero)

NOTA PENJUALAN JASA KEPELABUHANAN

PORT SERVICE INVOICE

DELIVERY

Penerima Jasa / Customer

Nama / Name : TANTO INTIM LINE Nama Kapal / Voyage : SPIL RATNA / SIM001-SIM001
Nomor / Number : 137730 Periode Kunjungan / Period : 26-JUL-23 s/d 27-JUL-23
Alamat / Address : JL.INDRAPURA NO.29-33 KEMAYORAN, No. Request / Request No. : DEL230000018118
KREMBANGAN SURABAYA 60176 Tgl. Request / Request Date : 27-JUL-23
NPWP / TIN : 01.108.183.3-631.000 Jenis Perdagangan / Type Of : BONGKAR/IMPORT
Trade

No Jenis Jasa Tgl Awal Tgl Akhir BOX Size Type STS HZ Hari Tarif Jumlah
No Service Type Start Date End Date BOX Size Type STS HZ Day Tariff Amount

1 LIFT ON 1 20 DRY FULL N 520.000 IDR 520.000

2 PENUMPUKAN 26-JUL-23 30-JUL-23 1 20 DRY FULL N 5 62.000 IDR 62.000
MASA I.1
3 PAS TRUCK 26-JUL-23 30-JUL-23 1 20 DRY FULL N 5 9.091 IDR 9.091
4 LIFT ON 10 20 DRY FULL N 162.500 IDR 1.625.000
5 PENUMPUKAN 26-JUL-23 30-JUL-23 10 20 DRY FULL N 5 27.000 IDR 270.000
MASA I.1
6 PAS TRUCK 26-JUL-23 30-JUL-23 10 20 DRY FULL N 5 9.091 IDR 90.910
7 LIFT ON 1 20 DRY FULL N 520.000 IDR 520.000
8 PENUMPUKAN 26-JUL-23 30-JUL-23 1 20 DRY FULL N 5 62.000 IDR 62.000
MASA I.1
9 PAS TRUCK 26-JUL-23 30-JUL-23 1 20 DRY FULL N 5 9.091 IDR 9.091
10 LIFT ON 10 20 DRY EMPTY N 77.500 IDR 775.000
11 PENUMPUKAN 26-JUL-23 30-JUL-23 10 20 DRY EMPTY N 5 13.500 IDR 135.000
MASA I.1
12 PAS TRUCK 26-JUL-23 30-JUL-23 10 20 DRY EMPTY N 5 9.091 IDR 90.910
13 LIFT ON 5 40 DRY FULL N 243.750 IDR 1.218.750
14 PENUMPUKAN 26-JUL-23 30-JUL-23 5 40 DRY FULL N 5 54.000 IDR 270.000
MASA I.1
15 PAS TRUCK 26-JUL-23 30-JUL-23 5 40 DRY FULL N 5 9.091 IDR 45.455
16 LIFT ON 1 40 DRY FULL N 780.000 IDR 780.000
17 PENUMPUKAN 26-JUL-23 30-JUL-23 1 40 DRY FULL N 5 124.000 IDR 124.000
MASA I.1
18 PAS TRUCK 26-JUL-23 30-JUL-23 1 40 DRY FULL N 5 9.091 IDR 9.091
19 LIFT ON 20 40 DRY EMPTY N 116.250 IDR 2.325.000
20 PENUMPUKAN 26-JUL-23 30-JUL-23 20 40 DRY EMPTY N 5 27.000 IDR 540.000
MASA I.1
21 PAS TRUCK 26-JUL-23 30-JUL-23 20 40 DRY EMPTY N 5 9.091 IDR 181.820
22 LIFT ON 4 40 RFR FULL N 243.750 IDR 975.000
23 PENUMPUKAN 26-JUL-23 30-JUL-23 4 40 RFR FULL N 5 124.000 IDR 496.000
MASA I.1
24 PAS TRUCK 26-JUL-23 30-JUL-23 4 40 RFR FULL N 5 9.091 IDR 36.364

010.806.23-61.000882 Print Date : 27-Jul-2023 09:23:25 | Page 1/3

 PT IPC Terminal Petikemas No. Nota / Bill Number : 010.806.23-61.000882
Kantor Pusat JL. PASOSO NO. 1, TANJUNG PRIOK, TANJUNG PRIOK, Tanggal / Date : 27-JUL-23
Head Office KOTA ADM. JAKARTA UTARA, DKI JAKARTA, 14310
NPWP 03.276.307.0-093.000 Nota sebagai faktur pajak
Tax ID berdasarkan Peraturan Dirjen Pajak
Nomor PER-13/PJ/2019 tanggal 2
Juli 2019
Member of PT. Pelabuhan Indonesia (Persero)

NOTA PENJUALAN JASA KEPELABUHANAN

PORT SERVICE INVOICE

DELIVERY

Administrasi / Administration IDR 53.000

DASAR PENGENAAN PAJAK / TAX BASE IDR 11.223.482
PPN 11% / VAT 11% IDR 1.234.584
Materai / Stamp Duty IDR 10.000
Jumlah Tagihan / Bill Amount IDR 12.468.066

Terbilang : Dua Belas Juta Empat Ratus Enam Puluh Delapan Ribu Enam Puluh Enam Rupiah
Say Twelve Million Four Hundred Sixty Eight Thousand Sixty Six Rupiah

Pontianak, 27-JUL-23
SM Keuangan

Nur Islaminnisa
NIPP. 282107237

Bea Materai Lunas Dengan Sistem Komputerisasi Nomor Ijin Termasuk Bea Materai
SI-00189/SK/WPJ.19/KP.0403/2020
Rp. 10000,-

Terminal Petikemas Pontianak

Pelabuhan Dwikora Pontianak

010.806.23-61.000882 Print Date : 27-Jul-2023 09:24:27 | Page 2/3

 Lampiran Nota : 010.806.23-61.000882
No request : DEL230000018118

No No Container Size Type Status HZ OOG

1 SPNU2022005 20 DRY FULL N N
2 SPNU2022006 20 DRY FULL N N
3 SPNU2022007 20 DRY FULL N N
4 SPNU2022008 20 DRY FULL N N
5 SPNU2022009 20 DRY FULL N N
6 SPNU2022010 20 DRY FULL N N
7 SPNU2022011 20 DRY FULL N N
8 SPNU2022012 20 DRY FULL N Y
9 SPNU2022013 20 DRY FULL N N
10 SPNU2022014 20 DRY FULL N N
11 SPNU2022015 20 DRY FULL N N
12 SPNU2022016 20 DRY FULL N Y
13 SPNU2022017 20 DRY EMPTY N N
14 SPNU2022018 20 DRY EMPTY N N
15 SPNU2022019 20 DRY EMPTY N N
16 SPNU2022020 20 DRY EMPTY N N
17 SPNU2022021 20 DRY EMPTY N N
18 SPNU2022022 20 DRY EMPTY N N
19 SPNU2022023 20 DRY EMPTY N N
20 SPNU2022024 20 DRY EMPTY N N
21 SPNU2022025 20 DRY EMPTY N N
22 SPNU2022026 20 DRY EMPTY N N
23 SPNU6034111 40 DRY FULL N N
24 SPNU6034112 40 DRY FULL N N
25 SPNU6034113 40 DRY FULL N N
26 SPNU6034114 40 DRY FULL N N
27 SPNU6034115 40 DRY FULL N N
28 SPNU6034116 40 DRY FULL N Y
29 SPNU6034117 40 DRY EMPTY N N
30 SPNU6034118 40 DRY EMPTY N N
31 SPNU6034119 40 DRY EMPTY N N
32 SPNU6034120 40 DRY EMPTY N N
33 SPNU6034121 40 DRY EMPTY N N
34 SPNU6034122 40 DRY EMPTY N N
35 SPNU6034123 40 DRY EMPTY N N
36 SPNU6034124 40 DRY EMPTY N N
37 SPNU6034125 40 DRY EMPTY N N
38 SPNU6034126 40 DRY EMPTY N N
39 SPNU6034127 40 DRY EMPTY N N
40 SPNU6034128 40 DRY EMPTY N N
41 SPNU6034129 40 DRY EMPTY N N
42 SPNU6034130 40 DRY EMPTY N N
43 SPNU6034131 40 DRY EMPTY N N
44 SPNU6034132 40 DRY EMPTY N N
45 SPNU6034133 40 DRY EMPTY N N
46 SPNU6034134 40 DRY EMPTY N N
47 SPNU6034135 40 DRY EMPTY N N
48 SPNU6034136 40 DRY EMPTY N N
49 TBSU3000045 40 RFR FULL N N
50 TBSU3000046 40 RFR FULL N N
51 TBSU3000047 40 RFR FULL N N
52 TBSU3000048 40 RFR FULL N N

010.806.23-61.000882 Print Date : 27-Jul-2023 09:24:28 | Page 3/3

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