Call-off Order 4501942324 Page 1 / 6

Delivery Address Vendor Number 81001127

PT HM Sampoerna Tbk. Telephone 04514711165
PT. HanjayaJl. Rungkut
Mandala Sampoerna Tbk
Industri Raya No. 18 Palu Office Facsimile 0451481725
Gunung Anyar - Surabaya
Jawa Timur 60293 JL. Soekarno Hatta No. 88
Indonesia
Tel : 62 31 843 1699; Fax : 62 31 843 0986 Gudang Coklat PT. SCC RT.08 / RW. 03 Contact Nurul Latiffa Maulani
NPWP : 01.108.205.4-631.000
94111 PALU E-mail [email protected]
INDONESIA Telephone +62435820234EXT86275436
SMART MEDIA INDONESIA CV Invoicing Address:
JL. ANOA NO. 107 PALU 94126 PT HANJAYA MANDALA SAMPOERNA Tbk. Released Date 31.08.2021
00000 PALU Jl. Rungkut Industri Raya No. 18 Delivery Date 29.10.2021
INDONESIA Rungkut Tengah Terms of Payment Due 120 days from the invoice
Gunung Anyar - Surabaya receiving date
JAWA TIMUR 60293 Currency IDR
INDONESIA

1. Please return signed PO acknowledgement immediately, advising shipping / delivery date and price changes to Accounts Payable, or you can return the signed PO by fax.
2. Invoices must be submitted on the day of delivery together with the delivery orders to the Accounts Payable - Finance Department.
3. Purchase Order number must appear on all invoices and delivery orders.
4. The seller has to remit the 10% VAT amount to the appropriate tax authority. Failure to do so, the seller shall be responsible of any penalty / claim imposed.
5. Vendor must submit the correct Invoice after goods & services received by the Company within 90 days to avoid Tax Invoice expiration. If the Company did not received the invoice from vendor up to 240
days for Direct Materials and 360 days for Indirect Materials & Services from date of goods & services received by the Company, the related liability will be automatically written off and the Company will have
the right to reject the billing.
6. The total price is subject to 10% VAT but inclusive any applicable Withholding Tax(WHT)

PLU4_2021-00097882_Shop Sign Tax -ATE Palu_Tabrani, Lompo

_____________________________________________________________________________________________________________
ItemMaterial number Description Quantity Unit Price per unit Amount
_____________________________________________________________________________________________________________

1 Agency fee pembayaran pajak (20%) 8,367,100 EA 1 8,367,100

2021-00097882-0004_Service - Agency Fee Tax_Agency Fee Tax Shop Sign Palu
(20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

2 Pembayaran Pajak 37,500,000 EA 1 37,500,000

2021-00097882-0001_Service - Tax_Tax Shop Sign Uk. 1 x 2 m Palu (30 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

If this Purchase Order (the "Order") identifies the terms that apply to it, or if terms have been agreed between the parties or their affiliates that are intended to apply to the transaction contemplated by this Order (for
example, a specific agreement), then those terms apply to the exclusion of any other terms. Otherwise, this Order is governed by the Terms and Conditions of Purchase Order Product and/or Services available at
https://www.sampoerna.com/sampoerna/en/media-center for English and https://www.sampoerna.com/sampoerna/id/media-center for Bahasa.
PT. Hanjaya Mandala Sampoerna Tbk
Call-off Order 4501942324 Page 2 / 6

_____________________________________________________________________________________________________________
ItemMaterial number Description Quantity Unit Price per unit Amount
_____________________________________________________________________________________________________________

3 Pembayaran Pajak 1,875,000 EA 1 1,875,000

2021-00097882-0002_Service - Tax_Tax Shop Sign Mitra Sampoerna Palu (3
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

4 Pembayaran Pajak 2,460,500 EA 1 2,460,500

2021-00097882-0003_Service - Tax_Tax Customised Shop Sign Wajo (1 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

5 Pembayaran Pajak 6,250,000 EA 1 6,250,000

2021-00097882-0005_Service - Tax_Tax Shopsign Uk. 1 x 2 m Parimo (5 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

6 Agency fee pembayaran pajak (20%) 1,250,000 EA 1 1,250,000

2021-00097882-0006_Service - Agency Fee Tax_Agency Fee Tax Parimo (20%)__1_WH009
- WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

7 Pembayaran Pajak 12,189,324 EA 1 12,189,324

2021-00097882-0007_Service - Tax_Tax Shopsign Uk. 1 x 2 m Morowali Utara (9
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

8 Pembayaran Pajak 4,769,358 EA 1 4,769,358

2021-00097882-0008_Service - Tax_Tax Shopsign Mitra Sampoerna Morowali Utara (2
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

If this Purchase Order (the "Order") identifies the terms that apply to it, or if terms have been agreed between the parties or their affiliates that are intended to apply to the transaction contemplated by this Order (for
example, a specific agreement), then those terms apply to the exclusion of any other terms. Otherwise, this Order is governed by the Terms and Conditions of Purchase Order Product and/or Services available at
https://www.sampoerna.com/sampoerna/en/media-center for English and https://www.sampoerna.com/sampoerna/id/media-center for Bahasa.
PT. Hanjaya Mandala Sampoerna Tbk
Call-off Order 4501942324 Page 3 / 6

_____________________________________________________________________________________________________________
ItemMaterial number Description Quantity Unit Price per unit Amount
_____________________________________________________________________________________________________________

9 Agency fee pembayaran pajak (20%) 3,391,736 EA 1 3,391,736

2021-00097882-0009_Service - Agency Fee Tax_Agency Fee Tax Morowali Utara
(20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_A Mild all variant

10 Pembayaran Pajak 1,705,025 EA 1 1,705,025

2021-00097882-0025_Service - Tax_Tax Illuminated Shop Sign Poso (1 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_DSSK all

11 Pembayaran Pajak 2,247,863 EA 1 2,247,863

2021-00097882-0026_Service - Tax_Tax Customised Shop Sign Aneka Ria (1
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_DSSK all

12 Agency fee pembayaran pajak (20%) 790,578 EA 1 790,578

2021-00097882-0027_Service - Agency Fee Tax_Agency Fee Tax Illuminated & Customised
Shop Sign Poso (20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_DSSK all

13 Pembayaran Pajak 1,440,000 EA 1 1,440,000

2021-00097882-0028_Service - Tax_Tax Shopsign Uk. 1 x 2 m Tolitoli (4 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_DSSK all

14 Agency fee pembayaran pajak (20%) 288,000 EA 1 288,000

2021-00097882-0029_Service - Agency Fee Tax_Agency Fee Tax Tolitoli (20%)__1_WH009
- WH009 - Palu_Tabrani, Lompo_Marketing_DSSK all

If this Purchase Order (the "Order") identifies the terms that apply to it, or if terms have been agreed between the parties or their affiliates that are intended to apply to the transaction contemplated by this Order (for
example, a specific agreement), then those terms apply to the exclusion of any other terms. Otherwise, this Order is governed by the Terms and Conditions of Purchase Order Product and/or Services available at
https://www.sampoerna.com/sampoerna/en/media-center for English and https://www.sampoerna.com/sampoerna/id/media-center for Bahasa.
PT. Hanjaya Mandala Sampoerna Tbk
Call-off Order 4501942324 Page 4 / 6

_____________________________________________________________________________________________________________
ItemMaterial number Description Quantity Unit Price per unit Amount
_____________________________________________________________________________________________________________

15 Agency fee pembayaran pajak (20%) 1,190,000 EA 1 1,190,000

2021-00097882-0034_Service - Agency Fee Tax_Agency Fee Tax Donggala
(20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Marlboro Filter Black

16 Pembayaran Pajak 5,950,000 EA 1 5,950,000

2021-00097882-0033_Service - Tax_Tax Shopsign Uk. 1 x 2 m Donggala (7 Unit)__1_WH009
- WH009 - Palu_Tabrani, Lompo_Marketing_Marlboro Filter Black

17 Agency fee pembayaran pajak (20%) 3,000,000 EA 1 3,000,000

2021-00097882-0032_Service - Agency Fee Tax_Agency Fee Tax Parimo (20%)__1_WH009
- WH009 - Palu_Tabrani, Lompo_Marketing_Marlboro Filter Black

18 Pembayaran Pajak 15,000,000 EA 1 15,000,000

2021-00097882-0031_Service - Tax_Tax Shopsign Uk. 1 x 2 m Parimo (12 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_Marlboro Filter Black

19 Pembayaran Pajak 6,250,000 EA 1 6,250,000

2021-00097882-0012_Service - Tax_Tax Shopsign Uk. 1 x 2 m Mamuju Utara (5
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

20 Pembayaran Pajak 1,250,000 EA 1 1,250,000

2021-00097882-0013_Service - Tax_Tax Shopsign Mitra Sampoerna (1 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

If this Purchase Order (the "Order") identifies the terms that apply to it, or if terms have been agreed between the parties or their affiliates that are intended to apply to the transaction contemplated by this Order (for
example, a specific agreement), then those terms apply to the exclusion of any other terms. Otherwise, this Order is governed by the Terms and Conditions of Purchase Order Product and/or Services available at
https://www.sampoerna.com/sampoerna/en/media-center for English and https://www.sampoerna.com/sampoerna/id/media-center for Bahasa.
PT. Hanjaya Mandala Sampoerna Tbk
Call-off Order 4501942324 Page 5 / 6

_____________________________________________________________________________________________________________
ItemMaterial number Description Quantity Unit Price per unit Amount
_____________________________________________________________________________________________________________

21 Agency fee pembayaran pajak (20%) 1,500,000 EA 1 1,500,000

2021-00097882-0014_Service - Agency Fee Tax_Agency Fee Tax Mamuju Utara Utara
(20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

22 Pembayaran Pajak 2,170,350 EA 1 2,170,350

2021-00097882-0016_Service - Tax_Tax Shop Sign Mitra Sampoerna Poso (1
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

23 Agency fee pembayaran pajak (20%) 434,070 EA 1 434,070

2021-00097882-0017_Service - Agency Fee Tax_Agency Fee Tax Shop Sign Poso
(20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

24 Pembayaran Pajak 10,762,500 EA 1 10,762,500

2021-00097882-0018_Service - Tax_Tax Shopsign Uk. 1 x 2 m Touna (21 Unit)__1_WH009 -
WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

25 Pembayaran Pajak 512,500 EA 1 512,500

2021-00097882-0019_Service - Tax_Tax Shop Sign Mitra Sampoerna Touna (1
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

26 Agency fee pembayaran pajak (20%) 2,255,000 EA 1 2,255,000

2021-00097882-0020_Service - Agency Fee Tax_Agency Fee Tax Touna (20%)__1_WH009
- WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

If this Purchase Order (the "Order") identifies the terms that apply to it, or if terms have been agreed between the parties or their affiliates that are intended to apply to the transaction contemplated by this Order (for
example, a specific agreement), then those terms apply to the exclusion of any other terms. Otherwise, this Order is governed by the Terms and Conditions of Purchase Order Product and/or Services available at
https://www.sampoerna.com/sampoerna/en/media-center for English and https://www.sampoerna.com/sampoerna/id/media-center for Bahasa.
PT. Hanjaya Mandala Sampoerna Tbk
Call-off Order 4501942324 Page 6 / 6

_____________________________________________________________________________________________________________
ItemMaterial number Description Quantity Unit Price per unit Amount
_____________________________________________________________________________________________________________

27 Pembayaran Pajak 21,120,000 EA 1 21,120,000

2021-00097882-0022_Service - Tax_Tax Shopsign Uk. 1 x 2 m Morowali (11
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

28 Pembayaran Pajak 960,000 EA 1 960,000

2021-00097882-0023_Service - Tax_Tax Shopsign Mitra Sampoerna Morowali (1
Unit)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

29 Agency fee pembayaran pajak (20%) 4,416,000 EA 1 4,416,000

2021-00097882-0024_Service - Agency Fee Tax_Agency Fee Tax Morowali
(20%)__1_WH009 - WH009 - Palu_Tabrani, Lompo_Marketing_Dji Sam Soe Magnum Mild

____________

Total value 161,294,904

For and on behalf of

PT. Hanjaya Mandala Sampoerna Tbk Confirmed and Accepted by:

_________________________________________ __________________________________________
Company Stamp / Authorised Signature (the "Buyer") Company Stamp & Authorised Signature (the "Seller")

____________________ ____________________
Date Date

If this Purchase Order (the "Order") identifies the terms that apply to it, or if terms have been agreed between the parties or their affiliates that are intended to apply to the transaction contemplated by this Order (for
example, a specific agreement), then those terms apply to the exclusion of any other terms. Otherwise, this Order is governed by the Terms and Conditions of Purchase Order Product and/or Services available at
https://www.sampoerna.com/sampoerna/en/media-center for English and https://www.sampoerna.com/sampoerna/id/media-center for Bahasa.