KEMENTERIAN KEUANGAN REPUBLIK INDONESIA DIREKTORAT JENDERAL BEA DAN CUKAI KANTOR WILAYAH DJBC BANTEN KANTOR PELAYANAN UTAMA SOEKARNO-HATTA

SURAT PERSETUJUAN PENGELUARAN BARANG (SPPB) Nomor : 008000/WBC.06/KPP.01/SPPB/2016 Tanggal : 18-01-2016

Nomor Pengajuan Nomor Pendaftaran PIB Kepada

: 000000-005718-20160113-007094 : 008217 Tanggal 18-01-2016

:

Importir NPWP Nama Alamat

: 01.309.842.1-055.000 : PT. CITAS OTIS ELEVATOR : GD. MENARA KARYA LT.28 JL.HR.RASUNA SAID BLOK X-5 KAV.1-2 KUNINGAN

NPWP Nama Alamat

: 02.696.599.6-045.000 : PT. MITRA CITRA UTAMA : JL. DELI LORONG 28 NO.01 RT 009 RW 003 KOJA JAKARTA UTARA 14220

NP PPJK

: 001330

PPJK

Lokasi Barang No.Tgl B/L atau AWB Sarana Pengangkut No Voy./Flight No/Tgl BC 1.1 Jumlah/jenis kemasan Merk kemasan

: CIMP / GUDANG CARDIG IMPOR : HSI160102 112-11465845 : CK 287 : 287 : 001080 Tanggal: 09-01-2016 : 1 PK; :-

Jumlah peti kemas Nomor Peti Kemas/ Ukuran

:0 :-

No.

No.Peti Kemas

Ukuran Penegahan

Ket

No.

Tanggal: 07-01-2016 07-01-2016

Pos Berat

No.Peti Kemas

: 0002 : 351.00

Ukuran

0001

Penegahan

Ket

Catatan pengeluaran :

Jakarta,

Jakarta,

Pejabat Pemeriksa Dokumen

Pejabat yang mengawasi pengeluaran barang

Tanda Tangan:

Tanda Tangan:

Nama NIP

Nama NIP

: :.

: :

Peruntukan : 1. Importir; 2. Pejabat yang mengawasi pengeluaran barang. Formulir ini dicetak secara otomatis oleh sistem komputer dan tidak memerlukan nama, tanda tangan pejabat, dan cap dinas.

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