CONFIDENTIAL

DEBIT NOTE
To: C711/0767/L/CUD/23
PT. DARYA VARIA LABORATORIA TBK
SOUTH QUARTER TOWER C LT. 18-19 JL. RT.010/RW. 004 CILANDAK BARAT CILANDAK JAKARTA SELATAN
DKI JAKARTA

Attn: Ms. Diah Retno Utami

SAP No. Description Amount

8100209393 MTKA MATAHARI - MAY 2023 Rp. 8,019,311

TOTAL Rp. 8,019,311

Jakarta, May 23, 2023

Perdata Muda
BU Controller CHC

Payment Instruction
Payment : 30 Days from invoiced date.
Bank Account : Standard Chartered Bank IDR (Satrio Menara Standard Chartered, Ground Fl Jl.Prof. DR. Satrio No 164 Jakarta)
Current Account : 30601432549
Account Name : PT. Anugerah Pharmindo Lestari.

‘If there is any disagreement, please comment or send inquiries to yusnia.narya@aplcare.com;perdata.muda@aplcare.com or

yusnia.narya@aplcare.com within 10 days after receiving DN or Claim Report. Otherwise, we assume the claims are valid and would
expect payment within 30 days’.

APL has the right to deduct the claims amount with our payables to Principal, if we do not receive payment after 30 days.

This printed information is generated by system and valid without signature of BU Controller.
 C711/0767/L/CUD/23
MTKA MATAHARI - MAY 2023

Doc.no. Doc. date Text Amount in cur.

8100201421 16/05/2023 800015/199/L/05/2023/0751-MT 666,000
8100201449 16/05/2023 800015/199/L/12/2022/2401A-MT 6,136,177
8100201449 16/05/2023 800015/199/L/12/2022/2402A-MT 1,217,134
Total Sub Total 8,019,311

Grand Total 8,019,311

Doc: 8100209393
 PT. A]'.JUGERAH PHARI4INDO LESTAR]
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t
,i- E! o : 30t015 199/U05202310751

CHARGE DOUUIITN I PRINCIPAL

PT. DARYA VARIA i-ABORATORIA TBK

PI, MATAHAFI PUME PRIUI

1.t AnnV.Hry FMI Pnmo sun*t aal

2U0112023 sld 2210412023

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Coupa 25431

ITMG 1309/III/PB/2023
900/V/SKP/2023

Pembagian
Enervon Rp.300.000
Natur-e Rp. 366.000
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NOTA OEBET

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 Faktur Pajak

LAZA LT 36 JL CAJAI] MADA NO

Pember BaGnq Kena Paiak /

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Nama Barans Kena PaFk / Jas rcna Paak
EEyaFanrsit*r dirmiPdmo smsel Po nl Bari (s/s0r01024/2YAV) , 22-
APR'2023 s/d 22 APR-2023

rora PPitsM (Paak Peniuala^ Barans M*ah)

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No: 3m015 199/L/122022l2.11)1A - tltT

CHARGE DOCUIYENT PRINCIPAL

PT. DARYA VARIA TABORATORIA TBK

DESCNIPTION AI{OUMT

PT, MATAHARI PUTR^ PRII.,IA

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2,

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Fix Rebate
807/VII/PB/2022
CE 710/XII/SKP/2022

Pembagian
Enervon 30's Rp.3.000.000
Enervon Act 30 Rp. 136.177
Natur-e 100 16's Rp.1.000.000
Natur-e 300 16's Rp. 500.000
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NOTA DEBET

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rod€ dan Nom, S€n F.rM P.,4

AIAMAI I GEDLJNG GAJAH MADA PLAZA LT SC JL G}tJAH MADA NO 19.26 JAKARIA PUSAI

Pembe Ba,ano r(ena %iak / pei€n

N,M' : T'T.OARYA VARIA LAAORATORIA IBK
AI.roI SOUIH OI'ARTER TOI/VER C LT,1&19 JL.RA,KARTINI KAV,8 RI OIO'RW I](x CILAiEAX BARAI
CILANOAX JAXARTA SELATAN OKI JAXARIA

Ha4a JuarPe no qanria n/! a nq

Nama Ba6nq Kena Paral / Jasa K6n. Paak

(Ireo1/344e2/22rR3)' 0r Nov.2022

rora PPnBM (Palar Penlua,n B,.igMewah)

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RINCIAN TAGIHAN
 PT, ANUGEMH PHARIT1INDO LESTARI

Not aom$ 1991U1212022124o2A -fir

CHARGE MCUMENT PRINCgAL

PT. DARYA VARIA LABORATOMA TBK

DESCRIPTION
L
PT, MATAHARI PUTRA PRIMA
l
O1ll1l2012 sld 3011112022

Abu u@k dokum€nvkwitansi telbsprr

i!fi 6elas hu *6tus tigi pllufi

7,2L1,134

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L
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Diskon
807/VII/PB/2022
710/XII/SKP/2022
Pembagian
Natur-e 100 Rp. 717.134
Natur-e 300 Rp. 500.000
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NOTA DEBET

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MATASR GRoUP (M,g]9,4/FB)

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F to oc tue rus tu !h Enpd tupiah

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 Faktur Pajak

Pembe Beane Keia PaFk / Pmdma Jasa Kena P.jak

AIAMA1 : SOUTH OUARTER TOWE

Harca Jua Penssanrian/Uans

Nama Ba€no Kena Paiak /Jasa Kena Parar

Mar.hari c/oup (aeor/!re5/2trR8) f 0r Nov 2022

rolarPPiBM (Pajak Penjuaran Barano Mew.h)

kqG' Iid.c PaFr h4e,E hhia FrL
RINCIAN TAGIHAN