PT.

DSV Solution Indonesia

Jl. Protokol Halim Perdanakusuma
Gd. Secure Building, Building C
Jakarta Timur

SHIP TO ADDRESS
PROFORMA INVOICE (WITH PACKING LIST)
No. : INV-0000087433
PT. SURABAYA AUTOCOMP INDONESIA (SAI - Date : 10 Jan 2025
KAWASAN INDUSTRI NGORO, NGORO INDUSTRI
For Customs Purpose Only
PERSADA KAVLING B2-1, KECAMATAN NGORO,
Loading Place : PLB - PT. DSV Solution Indonesia
MOJOKERTO, JAWA TIMUR
Sun City Biz Sidoarjo
Jln. Raya Arteri Baru, Desa Wunut
kecamatan Porong Sidoarjo
Sidoarjo, 61274
We deliver according to the following terms : Jawa Timur, Indonesia
Kurs USD-IDR : 16193 Destination : SAI-B

Nomor AJU : 00001602194220241130342945

No. Daftar Pemasukan : 603116
Tgl Daftar Pemasukan : 12-04-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7283-1289 CONNECTOR HOUSING PCE 1,200 13.45 306.82 TIBF40201B

Nomor AJU : 00001602194220241216343106

No. Daftar Pemasukan : 603355
Tgl Daftar Pemasukan : 12-27-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7283-1288-40 CONNECTOR PCE 900 8.10 221.67 RM01-3798
7090-4083-40 PUR SOFT TAPE PCE 1,800 0.60 13.55 RM01-3798
7144-1727 STEEL SPRING PCE 1,800 26.10 459.25 RM01-3798
7144-1728 STEEL SPRING PCE 2,400 34.80 612.34 RM01-3798

Nomor AJU : 00001602194220241213343094

No. Daftar Pemasukan : 603361
Tgl Daftar Pemasukan : 12-27-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7090-4925-40 PUR SOFT TAPE PCE 600 2.00 28.93 RM01-3797
7158-8234 PP INNER PCE 6,000 26.00 229.32 RM01-3797

Nomor AJU : 00001602194220241205343003

No. Daftar Pemasukan : 603201
Tgl Daftar Pemasukan : 12-11-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7194-4513-30 QUIETSLEEVE 3400
EA 3,000 13.74 225.00 24211119
13MM(1/2")

Nomor AJU : 00001602194220241205342991

No. Daftar Pemasukan : 603224
Tgl Daftar Pemasukan : 12-13-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7283-4617-40 CONNECTOR PCE 800 5.80 243.89 RM01-3794
7038-7675 PE TUBE (PC) PCE 1,000 3.70 70.00 RM01-3794
8G21-0020 NYLON SHEET PCE 800 10.60 139.07 RM01-3794
7298-2426-30 CONNECTOR PCE 800 7.20 111.94 RM01-3794

Nomor AJU : 00001602194220241130342942

No. Daftar Pemasukan : 603164
Tgl Daftar Pemasukan : 12-09-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7273-3836-3W
CLAMP OUTER BASE ASSY LD EA 648 29.74 311.69 8000020416
7173-3839-30 CLAMP OUTER COVER RD EA 480 10.13 79.20 8000020416

# DSV internal Page 1 of 3

 PT. DSV Solution Indonesia
Jl. Protokol Halim Perdanakusuma
Gd. Secure Building, Building C
Jakarta Timur

SHIP TO ADDRESS
PROFORMA INVOICE (WITH PACKING LIST)
No. : INV-0000087433
PT. SURABAYA AUTOCOMP INDONESIA (SAI - Date : 10 Jan 2025
KAWASAN INDUSTRI NGORO, NGORO INDUSTRI
For Customs Purpose Only
PERSADA KAVLING B2-1, KECAMATAN NGORO,
Loading Place : PLB - PT. DSV Solution Indonesia
MOJOKERTO, JAWA TIMUR
Sun City Biz Sidoarjo
Jln. Raya Arteri Baru, Desa Wunut
kecamatan Porong Sidoarjo
Sidoarjo, 61274
We deliver according to the following terms : Jawa Timur, Indonesia
Kurs USD-IDR : 16193 Destination : SAI-B

7273-3838-3W
CLAMP OUTER BASE ASSY RD EA 648 29.74 307.15 8000020324
7173-3837-30 CLAMP OUTER COVER LD EA 480 10.13 79.20 8000020416

Nomor AJU : 00001602194220241203342969

No. Daftar Pemasukan : 603169
Tgl Daftar Pemasukan : 12-09-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
430H9A290 NAME PLATE TAPE (MTR) MTR 400 4.20 85.83 RM01-3786

Nomor AJU : 00001602194220241129342935

No. Daftar Pemasukan : 603187
Tgl Daftar Pemasukan : 12-10-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7287-2944-30 CONNECTOR PCE 1,000 2.00 80.89 RM01-3777

Nomor AJU : 00001602194220241122342893

No. Daftar Pemasukan : 603105
Tgl Daftar Pemasukan : 12-02-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7283-7617-70 A/B 0.64-2 4P SEALED
CONNECTOR HOUSING EA 1,800 14.40 585 8000020289
FEMALE SUB ASSEMBLY

Nomor AJU : 00001602194220241220343153

No. Daftar Pemasukan : 000005
Tgl Daftar Pemasukan : 01-02-2025 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7144-1863-04 STEEL SPRING PCE 500 7.90 109.64
7144-1727 STEEL SPRING PCE 600 8.70 147.04 RM01-3798

Nomor AJU : 00001602194220241202342958

No. Daftar Pemasukan : 603125
Tgl Daftar Pemasukan : 12-05-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7375-0483 ETHERNET CABLE
PCE 400 18.00 2240.59 202411135
21B1L0800845003

Nomor AJU : 00001602194220240502341015

No. Daftar Pemasukan : 600996
Tgl Daftar Pemasukan : 05-06-2024 07:00:00
Part No. Part Description Uom Qty Netto USD Invoice No. Remarks
7475-4895 CABLE ASSY PCE 80 3.20 504.28

Total 28,136 290.23 7192.29

Harga Penyerahan (IDR) : 116,464,751.97

# DSV internal Page 2 of 3

 PT. DSV Solution Indonesia
Jl. Protokol Halim Perdanakusuma
Gd. Secure Building, Building C
Jakarta Timur

SHIP TO ADDRESS
PROFORMA INVOICE (WITH PACKING LIST)
No. : INV-0000087433
PT. SURABAYA AUTOCOMP INDONESIA (SAI - Date : 10 Jan 2025
KAWASAN INDUSTRI NGORO, NGORO INDUSTRI
For Customs Purpose Only
PERSADA KAVLING B2-1, KECAMATAN NGORO,
Loading Place : PLB - PT. DSV Solution Indonesia
MOJOKERTO, JAWA TIMUR
Sun City Biz Sidoarjo
Jln. Raya Arteri Baru, Desa Wunut
kecamatan Porong Sidoarjo
Sidoarjo, 61274
We deliver according to the following terms : Jawa Timur, Indonesia
Kurs USD-IDR : 16193 Destination : SAI-B

We declare that this invoice shows the actual price of goods described and that all particulars are true and correct

# DSV internal Page 3 of 3