PTA1048, 25 SEPTEMBER 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. 0101-0210-26-001133 MICHELLE JACQUELIN QQ PT TRADITIONAL TASTE 02 April 2026
Rp. 4.176.420
Rp. 1.044.105
Rp. 62.000
Rp. 3.194.315
0%
Rp. 0
Rp. 3.194.315
Rp. 3.184.315
22 April 2026
2. 0101-0210-26-001267 ALVIN YOGINTORO SAKALIM QQ ORCHENIA YOGINTORO SAKALIM 02 April 2026
Rp. 5.752.600
Rp. 1.006.705
Rp. 62.000
Rp. 4.807.895
2%
Rp. 28.763
Rp. 4.807.895
Rp. 4.395.213
19 April 2026
3. 0101-0210-26-001082 DONNY ALLEN QQ PT QUANTUM TOSAN INTERNASIONAL 01 April 2026
Rp. 5.331.000
Rp. 1.066.200
Rp. 62.000
Rp. 4.326.800
2%
Rp. 26.655
Rp. 4.326.800
Rp. 4.076.905
17 April 2026
4. 0101-0210-26-001761 FLORA IRAWAN 06 Mei 2026
Rp. 3.973.085
Rp. 397.309
Rp. 62.000
Rp. 3.637.777
2%
Rp. 19.865
Rp. 3.637.777
Rp. 3.051.679
01 Juni 2026
TOTAL
Rp. 19.233.105
Rp. 15.966.787
Rp. 14.708.112

Prepared By Approval