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Bahwa ES ieninggal dunia (wafat) pada harisabtu 07 Desember 2013 di Rumah Sakit Ibu Dan Anak Cathrine BoothMakassar Jalan Arie Rate Kelurahan Mangkura Kecamatan Ujung PandangKota Makassar Provinsi Sulawesi Selatan ;4. Bahwa Almarhum Soemarsono Bin Sujani dan Almarhumah Hj.
218 — 169 — Berkekuatan Hukum Tetap
Note Name: PT Traya Tirta Makassar No:21223047 date: 26/05/2010 Periode of Insurance: 28/04/201028/04/2011 dengan Total: US$ 15,750.001 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201028 Apr 2011 dengan Total USD30,006.402 (dua) lembar bagan flow chart bertuliskan periode perpanjangan:20112012, 20122013, 201320141 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 18 April 2012, Attention Bok Timothy / Christine, From:Rachsid Lies / Cathrine
K/PID.SUS/20163139.3140.3141.3142.3143.3144.3145.3146.3147.3148.3149.3150.1 (satu) bendel Debit Note Name: PT Traya Tirta Makassar No:21292197 date: 24/08/2012 Periode of Insurance: 28/04/201228/04/2013 dengan Total: US$ 15,000.001 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201228 Apr 2013 dengan Total USD30,006.401 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 8 April 2011, Attention Bok Timothy Wan Ullok, From:Rachsid Lies / Cathrine
No. 1871 K/PID.SUS/20163151.3152.3153.3154.3155.3156.3157.3158.3159.3160.3161.3162.3163.1 (satu) bendel Debit Note Name: PT Traya Tirta Makassar No:21260491 date: 05/09/2011 Periode of Insurance: 28/04/201128/04/2012 dengan Total: US$ 7,125.001 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201128 Apr 2012 dengan Total USD30,006.401 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 16 April 2013, Attention Bok James, From: Rachsid Lie /Cathrine
No. 1871 K/PID.SUS/20163133.3134.3135.3136.3137.3138.3139.3140.3141.3142.3143.3144.Rachsid Lies / Cathrine C, Subject: Penawaran PerpanjanganAsuransi Property All Risk (termasuk Gempa Bumi), Ref No:39/F/JAE01/CC/JKT/4/20121 (satu) bendel Cover Note No 1371/CN/IAREQ/JAE01/CC/04/2012dari MIR Insurance Broker1 (satu) bendel POLICY SCHEDULE PROPERTY ALL RISKINSURANCE Policy No: 02010912003722 (dua) lembar Endorsement dari No Polis : 0201091200372 dengannama tertanggung: PT Traya Tirta Makassar1 (satu
211 — 268 — Berkekuatan Hukum Tetap
: US$ 15,750.001 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201028 Apr 2011 dengan Total USD30,006.40Halaman 493 dari 1578 halaman Putusan Nomor 259 PK/PID.SUS/201731313132.3133.3134.3135.3136.3137.3138.3139.3140.3141.. 2 (dua) lembar bagan flow chart bertuliskan periode perpanjangan:20112012, 20122013, 201320141 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 18 April 2012, Attention Bok Timothy / Christine, From: RachsidLies / Cathrine
2012 Periode of Insurance: 28/04/201228/04/2013 dengan Total: US$ 15,000.001 (satu) bendel Debit Note Name: PT Traya Tirta Makassar No:21292197 date: 24/08/2012 Periode of Insurance: 28/04/201228/04/2013 dengan Total: US$ 15,000.001 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201228 Apr 2013 dengan Total USD30,006.401 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 8 April 2011, Attention Bok Timothy Wan Ullok, From: RachsidLies / Cathrine
: PT Traya Tirta Makassar No:21260491 date: 05/09/2011 Periode of Insurance: 28/04/201128/04/2012 dengan Total: US$ 7,125.001 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201128 Apr 2012 dengan Total USD30,006.40Halaman 495 dari 1578 halaman Putusan Nomor 259 PK/PID.SUS/20173153.3154.3155.3156.3157.3158.3159.3160.3161.3162.3163.1 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 16 April 2013, Attention Bok James, From: Rachsid Lie /Cathrine
15,750.00Halaman 1016 dari 1578 halaman Putusan Nomor 259 PK/PID.SUS/20173130.3131.3132.3133.3134.3135.3136.3137.3138.3139.3140.3141.1 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201028 Apr 2011 dengan Total USD30,006.402 (dua) lembar bagan flow chart bertuliskan periode perpanjangan:20112012, 20122013, 201320141 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 18 April 2012, Attention Bok Timothy / Christine, From: RachsidLies / Cathrine
PT Traya Tirta Makassar No:21260491 date: 05/09/2011 Periode of Insurance: 28/04/201128/04/2012 dengan Total: US$ 7,125.00Halaman 1018 dari 1578 halaman Putusan Nomor 259 PK/PID.SUS/20173152.3153.3154.3155.3156.3157.3158.3159.3160.3161.3162.1 (satu) lembar Production Report PT Mitra, Iswara & RorimpandeyJakarta Periode 28 Apr 201128 Apr 2012 dengan Total USD30,006.401 (satu) bendel Facsimile Transmission To: PT Traya Tirta Makassar,tanggal 16 April 2013, Attention Bok James, From: Rachsid Lie /Cathrine
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dengan Total: US$ 15,750.00;1 (satu) lembar Production Report PT Mitra, Iswara &Rorimpandey Jakarta Periode 28 Apr 201028 Apr 2011 denganTotal USD 30,006.40;2 (dua) lembar bagan flow chart bertuliskan periodeperpanjangan 20112012, 20122013, 20132014;1 (satu) bendel Facsimile Transmission To PT Traya TirtaMakassar tanggal 18 April 2012, Attention Bok Timothy/Christine,Halaman 493 Putusan Nomor 37/P1D/T PK/2016/FT .DKI.3133.3134.3135.3136.3137.3138.3139.3140.3141.3142.3143.3144.From Rachsid Lies/Cathrine
Periode of Insurance: 28/04/201228/04/2013 dengan Total: US$ 15,000.00;1 (satu) bendel Debit Note Name: PT Traya Tirta Makassar No.21292197 date: 24/08/2012 Periode of Insurance: 28/04/201228/04/2013 dengan Total: US$ 15,000.00;1 (satu) lembar Production Report PT Mitra, lswara danRorimpandey Jakarta Periode 28 Apr 201228 Apr 2013 denganTotal USD 30,006.40;1 (satu) bendel Facsimile Transmission To: PT Traya TirtaMakassar, tanggal 8 April 2011, Attention Bok Timothy WanUllok, From: Rachsid Lies/Cathrine
: 06/07/2011 Periode of Insurance: 28/04/2011 28/04/2012 dengan Total: US$ 7,875.00;1 (satu) bendel Debit Note Name: PT Traya Tirta Makassar No.21260491 date: 05/09/2011 Periode of Insurance: 28/04/2011 28/04/2012 dengan Total: US$ 7,125.00;1 (satu) lembar Production Report PT Mitra, lswara danRorimpandey Jakarta Periode 28 Apr 201128 Apr 2012 denganTotal USD 30,006.40;1 (satu) bendel Facsimile Transmission To: PT Traya TirtaMakassar, tanggal 16 April 2013, Attention Bok James, From:Rachsid Lie/Cathrine
Debit Note Name: PT Traya Tirta Makassar No.21223047 date 26/05/2010 Periode of Insurance 28/04/201028/04/2011 dengan Total: US$ 15,750.00;1 (satu) lembar Production Report PT Mitra, Iswara &Rorimpandey Jakarta Periode 28 Apr 201028 Apr 2011 denganTotal USD 30,006.40;2 (dua) lembar bagan flow chart bertuliskan periodeperpanjangan 20112012, 20122013, 20132014;1 (satu) bendel Facsimile Transmission To PT Traya TirtaMakassar tanggal 18 April 2012, Attention Bok Timothy/Christine,From Rachsid Lies/Cathrine
Terbanding/Terdakwa : Markus Nari
996 — 3252
Sandipala Arthaputra Perihal : Penawaran hargapekerjaan Laminasi sheet untuk eKTP 27071 (satu) lembar surat dari Cathrine Tannos Nomor1/VII/2013 tanggal 13 Juli 2013 perihal : Peminjaman PETG 1 (Satu) bundel dokumen yang terdiri dari : 27081 (satu) bundel commercial invoice Jiangshu HuaxinPlasticIndustries Developing Co. Ltd Nomor : 00006286 tanggal 26September 2011 kepada PT.
Sandipala Arthaputra Perihal : Penawaran hargapekerjaan Laminasi sheet untuk eKTP 2/7071 (satu) lembar surat dari Cathrine Tannos Nomor1/VII/2013 tanggal 13 Juli 2013 perihal : Peminjaman PETG 1 (satu) bundel dokumen yang terdiri dari : 27081 (satu) bundel commercial invoice Jiangshu HuaxinPlasticIndustries Developing Co. Ltd Nomor : 00006286 tanggal 26September 2011 kepada PT.