PTA995, 27 APRIL 2026

No.

Invoice No.

Policy No.

Insured Name

Period

Gross Premium

Disc

Stamp & Duty

Net Premium

PPH

Net Premi

Net Premi Asuransi

Cust Bayar

1.

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0101-0210-26-001254

ALVIN YOGINTORO SAKALIM QQ OLIVIA SRIJAYA

03 April 2026

Rp. 7.216.710

Rp. 1.262.924

Rp. 62.000

Rp. 6.015.786

2%

Rp. 44.685

Rp. 6.015.786

Rp. 6.799.435

19 April 2026

TOTAL

Rp. 7.216.710

Rp. 6.015.786

Rp. 6.799.435

Prepared By Approval