903 Pulse Oxymeter Neonastus UTAS (UKRAINE) OXI 2004 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi INJECTOMA(France) R AGILIA6 Infant Resusitation & Fisher & Paykel RD Emergency Set (New Zeland) 9O00AEU7 CPAP with Medical Airway Fisher & Paykel Bubble CPAP(New Zeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMA VS(FRANCE) 1510 Neonatus Resusitation & MrmEmergency Set11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

200Neonastus4 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi INJECTOMAR(France) AGILIA6 Infant Resusitation & Fisher & Paykel RD 900AEUEmergency Set (New Zeland) Halaman 34 dari 88 Putusan Nomor 19/Pid.SusTPK/2016/PT PAL 7 CPAP with Medical Airway Fisher & Paykel Bubble CPAP(New Zeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMA VS 15(FRANCE)10 Neonatus Resusitation & MrmEmergency Set11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum ERN (FINLAND

Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi INJECTOMA(France) RAGILIA6 Infant Resusitation & Fisher & Paykel RD Emergency Set (New Zeland) 9OOAEU7 CPAP with Medical Airway Fisher & Paykel Bubble CPAP Halaman 9 dari 88 Putusan Nomor 19/Pid.SusTPK/2016/PT PAL (New Zeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMAVS(FRANCE) 1510 Neonatus Resusitation & MrmEmergency Set11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi INJECTOMA(France) RAGILIA6 Infant Resusitation & Fisher & Paykel RD Emergency Set (New Zeland) 9OOAEU Halaman 22 dari 88 Putusan Nomor 19/Pid.SusTPK/2016/PT PAL 7 CPAP with Medical Airway Fisher & Paykel Bubble CPAP(New Zeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMAVS(FRANCE) 1510 Neonatus' Resusitation & MrmEmergency Set11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

(MEDICAL) HKN 903 Pulse Oxymeter UTAS (UKRAINE) OXI 200Neonastus4 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi INJECTOMAR(France) AGILIA6 Infant Resusitation & Fisher & Paykel RD 900AEUEmergency Set (New Zeland)7 CPAP with Medical Airway Fisher & Paykel Bubble CPAP(New Zeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMAVS 15(FRANCE)10 Neonatus Resusitation & MrmEmergency Set11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum ERN (FINLAND

48.500.000.set13 Vien Viewer /Accu Vein AV300 USA 195.500.000.14 Alat cek Gluco Dr AGM 4000 Korea 1.100.000.kadar guladarah15 Digital Xray Vila SM Rotohgraph Italy 1.900.000.000.Panoramic EVO D(Dental) Set +Ceph16 Digital Xray Vila SM ACP Italy 515.500.0000.Periapical(Dental) set17 Dental Chair /Andini Acure Indonesia 2140.000.000.Set Komplit 44 18 Scalling Bonard Ultrasonic Taiwan 5.000.000.Machine Scaler ARTPl19 Light Cure Dentamerica Litex 680 A Taiwan 4.500.000.Dental20 Short wave Fisyomed 12850 Finland

522.900.000.Diatermy21 Ultra sound = Fisyomed 10700 Finland 97.500.000.Fisioteraphy22 Infra Red Heuser TGS3 Germany /149.100.000.Lamp23 Parafin Bath Marvel Indonesia /20.5000.000.24 Nebulizer Laica NE 1001 W italy 2.950.000.25 Fisioteraphy Fysiomed Finlandia 5.800.000.Ball (large)26 Infus Pump JMS OT701 Japan 61.500.000.27 Syringe Pump JMS SP 500 Japan 61.500.000.28 Examination Gea KD201B China 4.950.000.Lamp (Mobil)29 Emergency' Shima SM 9120 Indonesia 23.200.000.troly setlengkapdengantabungoksigen30

IDS 300 USA 655.000.0000.48 EKG Trismed Cardivia Korea 76.500.000800812R49 Ventilator Care Fusion Avea USA 1.300.600.0000.50 Lampu Fhilip Burton Aim 100 USA 695.200.000.Operasi(OperatingLamp) cellingsystem51 Mammografy Villa S.M Melody Ill Italy 2.093.500.000.52 Multi Purpose Poly Indonesia 60.900.000.Stracer(c) PT.Meditronics Imaging Indonesia :NO NAMA/ MERK TYPE NEGARA HARGAJENIS ASAL SATUAN(RP)1 2 3 4 5 61 Mesin Fresenius 408 S Plus France 860.0000.00Hemodialis 0a2 Radiograp GE Precision RXI Finland

Alat cek Gluco DrAGM Korea 1.100.000.kadar 4000guladarahHalaman 61Putusan Pengadilan Tindak Pidana KorupsiPada Pengadilan Negeri Medan62 15 Digital Vila SM Rotohgralltaly 1.900.000.000.Xray ph EVOPanoram D+Cephic(Dental)Set16 Digital VilaSM ACP Italy 515.500.000.XrayPeriapical(Dental)set17 Dental Andini jAcure Indonesia 2140.000.000.ChairSetKomplit18 Scalling Bonard Ultrasoni Taiwan 5.000.000.Machine c ScalerART P119 Light DentameLitex 680 Taiwan 4.500.000.Cure rica ADental20 Short Fisyome 12850 Finland

522.900.000.wave dDiatermy21 Ultra Fisyome 10700 Finland 97.500.000.sound dFisioteraphy22 Infra RedjHeuser TGS3 Germany 149.100.000.Lamp23 Parafin Marvel Indonesia 20.5000.000.Bath24 Nebulize Laica NE 1001 Italy 2.950.000.r W25 Fisiotera Fysiome Finlandia 5.800.000.phy Ball jd(large)26 Infus JMS 0OT701 Japan 61.500.000.Pump27 Syringe JMS SP 500 Japan 61.500.000.Pump 28ExaminationLamp(Mobil)GeaKD201BChina4.950.000. 29Emergency trolysetlengkapdengantabungoksigenShimaSM 9120Indonesia23.200.000. 30Sterilisator

46TempattidurBabyShimaSM9017BIndonesia10.150.000. 47ElectrocauterBovieIDS 300USA655.000.000. 48EKGTrismedCardivia800812RKorea76.500.000 49VentilatorCareFusionAveaUSA1.300.600.000. 50LampuOperasi(OperatingLamp)cellingsystemFhilipBurtonAim 100USA695.200.000. 51MammografyVilla S.MMelodyiltaly2.093.500.000. 52 Multi Poly Indonesia 60.900.000.PurposeStracerc) PT.Meditronics Imaging Indonesia :NO NAMA / MERK TYPE NEGARA HARGAJENISASAL SATUAN (RP)1 2 3 4 5 61 Mesin Fresenius 408 S Plus France 860.0000.000Hemodialisa2 Radiography GE Precision RXI Finland

Medical Smaf JX 820D China 12.850.000.Suctin Infant12 Minor Medicone Various Germany 46.050.000.Surgeri set13 Vien Viewer Accu Vein AV300 USA 192.750.000.Halaman 65Putusan Pengadilan Tindak Pidana KorupsiPada Pengadilan Negeri Medan66 14 ~=Alat cek Omron Japan 1.250.000.kadar guladarah15 Digital Xray GE Orthopantomograp Finland 1.920.000.0000.Panoramic h OP100(Dental) Set16 = Digital Xray Instrumentariu OP 2000 Finland 530.150.000.Periapical m(Dental) set17 Dental Chair Sky Dental 2080 Australia

PUTUSANNOMOR 797/Pdt.G/2016/PN DpsDEMI KEADILAN BERDASARKAN KETUHANAN YANG MAHA ESAPengadilan Negeri Denpasar yang memeriksa dan memutus perkaraperdata dalam tingkat pertama menjatuhkan putusan sebagai berikut dalam perkaragugatan antara :PENGGUGAT, Lakilaki, kKebangsaan Indonesia, tempat dan tanggal lahirHirvensalmi Finland/,10 Desember 1975, Agama Kristen, NomorPaspor ; 87935344, pekerjaan Swasta, beralamat di Kakbrinken144 Tr, 111 27 Stockholm, saat ini bertempat tinggal diDenpasar, daam hal ini

MARTTI AHTISAARI Ketua Dewan Direktur Crisis Management Initiative,dengan alamatCMI OFFICE IN HELSINKI Eteldranta 12 (2nd floor) 00130Helsinki Finland, Telphone: +358 9 4242810 (office hours 916) Fax: +358 942428110, Email: cmi.helsinki@cmi.fiselanjutnya disebut sebagai mot nnn nnn nn nnn nnn nnn nnn nnn nnn nn nnn nn nnn nnn nanan nn nnn nn nnn nnn nmnnnn TERGUGAT IV..

V.Netherlands, Sika Danmark NS Denmark, Oy SikaFinland Ab Finland, Sika Norge A/S Norway, Sika SverigeAB Sweden, Sika Latvia. Sika Addiment GmbH,SikaDeutschland GmbH, Sika Holding GmbH DE Holding,SikaHalaman 32 dari 46 halaman. Putusan Nomor 1181/B/PK/PJK/2015Korrosionsschutz. Sika Plastimentj GmbH, Sika PolandSp.z.0.0., Sika Russia, Sika Ukraina, Sika Italia SpA. SikaPortugal ;Produtos,Construcao e Inch:lstria SA,Sika SASpain,Sika Yapi Kimyasallari S.

Optin 700 10 x 1550 x 6000 58 1.715,62 99.505,96(Finland)5. Dillimax 690T 30 x 2500 x 6000 10 11.481 114.810,00(Germany) b. Berdasarkan Purchase Order Nomor 051/GALLJ/V/08 tertanggal 27Mei 2008, Tergugat telah melakukan pemesanan kepada Penggugatatas produkproduk baja sebagai berikut: age Harga TotalNo Nama Ukuran (milimeter Jumlah (Dollar (Dollarmor Produk kubik/mm?) (buah) Amerika AmerikaSerikat) Serikat)1. Dillidur 400 10 x 2438 x 12200 10 6.841,18 68.411,80(Germany)2.

SystemsInformation Technologies Type Dash 5000 dengan SeriaNumber SD009461788GA dari GE Operations Indonesiatertanggal 28 May 2015.g) 1 (satu) lembar Surat Pengganti Certificate Of Origin untukMonitor (Non Invasive) merk GE Medical SystemsInformation Technologies Type Dash 5000 dengan SeriaNumber SD009461794GA dari GE Operations Indonesiatertanggal 28 May 2015. 1 (satu) bundel dokumen yang dilegalisir berisikan:a) 1 (satu) lembar Surat Pengganti Certificate Of Origin untukPulse Oxymetri merk GE Healthcare Finland

OYFinlandType Tuffsat dengan Serial Number FCB09470071SA darGE Operations Indonesia tertanggal 28 May 2015.b) 1 (satu) lembar Surat Pengganti Certificate Of Origin untukPulse Oxymetri merk GE Healthcare Finland OYFinlandType Tuffsat dengan Serial Number FCB09460316SA darGE Operations Indonesia tertanggal 28 May 2015.c) 1 (satu) lembar Surat Pengganti Certificate Of Origin untuk Hal.297 putusan No.121/Pid.Sus/TPK/2015/Pn.Jkt.P3t.

Pulse Oxymetri merk GE Healthcare Finland OYFinlandType Tuffsat dengan Serial Number FCB09460269SA darGE Operations Indonesia tertanggal 28 May 2015.1 (satu) lembar Surat Pengganti Certificate Of Origin untukPulse Oxymetri merk GE Healthcare Finland OYFinlandType Tuffsat dengan Serial Number FCBO9480005SA darGE Operations Indonesia tertanggal 28 May 2015.1 (satu) lembar Surat Pengganti Certificate Of Origin untukPulse Oxymetri merk GE Healthcare Finland OYFinlandType Tuffsat dengan Serial Number

FCB09460333SA darGE Operations Indonesia tertanggal 28 May 2015.1 (satu) lembar Surat Pengganti Certificate Of Origin untukPulse Oxymetri merk GE Healthcare Finland OYFinlandType Tuffsat dengan Serial Number FCB09470077SA darGE Operations Indonesia tertanggal 28 May 2015. 1 (satu) lembar Surat Pengganti Certificate Of Origin untukEchocardiography merk GE Healthcare Finland OYFinland TypeVivid E dengan Serial Number 109074WX5 dari GE OperationsIndonesia tertanggal 28 May 2015. a)1 (satu) bundel dokumen

Putusan Nomor 2687 K/PID.SUS/2015 PERALATAN PUSKESMAS Tang jaringan placenta/abortus 1 Hebu 2 2.185.00032 cm (kelly)2 Tabung oxygen besar/kecil 1M3 Japan+Cina 4 7.887.000Toples kapas/kasa steril 150 x3 CBM Italy 5 567.000150 mmToples kapas/kasa steril 125 x4 CBM Italy 4 518.000125 mmTandu lipat. fold by 8 with back .5 Pensi Finland 2 9.775.000packMeja instrument/Alat stainless6 Poly Indonesia 4 8.510.000steelSpeculum vagina (cocor bebek)7 Hebu Medical 4 1.148.000besarSpeculum vagina (cocor bebek)

46.823.00036 Tabung oksigen 1 M3 China 6 7.887.000Electrosurgery Unit (bipolar/37 Hebu 2 139.800.000monopolar)Innomed38 Electrocardiograph 2 48.967.000MedicalDmetic TCW39 Lemari ES/refrigerator 1 104.167.0002000PERALATAN PUSKESMASTang jaringan placenta/abortus1 Hebu 2 2.185.00032 cm (kelly)2 Tabung oxygen besar/kecil 1M3 Japan+Cina 4 7.887.000Toples kapas/kasa steril 150 x3 CBM Italy 5 567.000150 mmToples kapas/kasa steril 125 x4 CBM Italy 4 518.000125 mmTandu lipat. fold by 8 with back .5 Pensi Finland

MEDICAL) HKN 903 Pulse Oxymeter Neonastus UTAS (UKRAINE) OXI 2004 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi (France) INJECTOMAR AGILIA6 Infant Resusitation & Emergency Set Fisher & Paykel (New RD 900AEUZeland)7 CPAP with Medical Airway Fisher & Paykel (New Bubble CPAPZeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMA VS 15(FRANCE)10 evans Resusitation & Emergency Mrmet11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

HKN 903 Pulse Oxymeter Neonastus UTAS (UKRAINE) OXI 2004 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi (France) INJECTOMAR AGILIA6 Infant Resusitation & Emergency Set Fisher & Paykel (New RD 900AEUZeland)7 CPAP with Medical Airway Fisher & Paykel (New Bubble CPAPZeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMA VS 15(FRANCE)10 qgonatus Resusitation & Emergency Mrmet11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

V.Netherlands, Sika Danmark NS Denmark, Oy SikaFinland Ab Finland, Sika Norge A/S Norway, Sika SverigeAB Sweden, Sika Latvia. Sika Addiment GmbH,SikaDeutschland GmbH, Sika Holding GmbH DE Holding, SikaKorrosionsschutz. Sika Plastimentj GmbH, Sika PolandSp.z.0.0., Sika Russia, Sika Ukraina, Sika Italia SpA. SikaPortugal ;Produtos,Construcao e Inch:lstria SA,Sika SASpain, Sika Yapi Kimyasallari S. Turkey, SikaAzerbaijan,Sika Kazakhstan,Sika Ireland Ltd.,Sika Ltd.United Kingdom,Sika Egypt f. Cons.

903 Pulse Oxymeter Neonastus UTAS (UKRAINE) OXI 2004 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi (France) INJECTOMAR AGILIA 6 Infant Resusitation & Emergency Set Fisher & Paykel (New RD 900AEUZeland)7 CPAP with Medical Airway Fisher & Paykel (New Bubble CPAPZeland) MR850ARU8 Flowmeter SMEBA13B811 17 9 Infusion Pump FRESENIUS KABI OPTIMA VS 15(FRANCE)10 Neonatus Resusitation & Emergency MrmSet11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

HKN 903 Pulse Oxymeter Neonastus UTAS (UKRAINE) OXI 2004 Phototherapy BELSSINDO BP 0385(INDONESIA)5 Syering Pump Fresenius Kabi (France) INJECTOMAR AGILIA 6 Infant Resusitation & Emergency Set Fisher & Paykel (New RD 900AEUZeland)7 CPAP with Medical Airway Fisher & Paykel (New Bubble CPAPZeland) MR850ARU8 Flowmeter SMEBA13B8119 Infusion Pump FRESENIUS KABI OPTIMA VS 15(FRANCE)10 qgonatus Resusitation & Emergency Mrmet11 Maternal Resusitation Box GEA MEDICAL YZ30012 Ekstactor Vacuum Delivery ERN (FINLAND

Operasional FINFSA dibiayai 95%nya olehlembaga keuangan yang disupervisi, sedangkan sisanya dibiayai olehBank of Finland (Bukti P35);Otoritas Jasa Keuangan di Negara Jepang, atau dikenal dengan namaFinancial Supervisory Authority (FSA), FSA bertanggung jawabmengawasi dan mengatur perbankan, pasar modal, dan asuransi.

46.823.00036 Tabung Oksigen 1 m3 China 6 7.887.00037 Electrosurgery Unit HEBU 2 139.800.000(Bipolar/Monopolar); Innomed38 Electrocardiograph eherdicel 2 48.967.00039 Lermari ES / Refrigerator ae cw 1 104.167.000PERALATAN PUSKESMASTang Jaringan Placenta /1 abortus. 32 cm (kelly) HEBU 2 2.185.0002 ranng Oxygen Besar/Kecll. jy yonscina 4 7.887.0003 Toples kapas/kasa Steril 150 CBM Italy 5 567.000x 150 mm4 Toples kapas/kasa Steril 125 CBM Italy 4 518.000x 125 mmTandu lipat. fold by 8 with Pensi5 back pack Finland

dikeluarkan oleh WIPO (WorldIntellectual Property Organization );Bukti T.I53.C : Pendaftaran merek Safety Joggers atas nama CortinaNV yang mereknya didaftarkan secara internasional sekaligus ke 83 negara(yaitu Antigua dan Barbuda, Albania, Armenia, Netherlands Antilles, Austria,Australia, Azerbaijan, Bosnia and Herzegovina, Bulgaria, Bahrain, Bonaire,Saint Eustatius and Saba, Bhutan, Belarus, Switzerland, China, Cuba,Curacao, Cyprus, Czech Republic, Germany, Denmark, Algeria, Estonia,Egypt, Spain, Finland

Fukuda Denshi tipe FX-7102, merk Japan diproduksi di negara China, dari PT Dharma Bhakti Medika Sejati kepada PT Hanai Indonesia, senilai Rp 1.974.600.000,00 (satu miliar sembilan ratus tujuh puluh empat juta enam ratus ribu rupiah);

BIS Monitor 1 unit GE EBIS Finland 432.913.000Healthcare4. Meja Operasi 1 unit Brumaba Various Germany 1.438.328.0005.

BIS 1 unit GE EBIS Finland 432.913.000Monitor Healthcare4. Meja 1 unit Brumaba Various Germany 1.438.328.000Operasi5. USG 3 1 unit Fukuda UF Japan 1.289.000.000Dimensi Denshi 870AG6. Lampu 1 unit Philips OR USA 671.630.000Operasi Burton 160/SC/257. EKG 1 unit Schiller Cardiovit Swiss 116.957.000AT1018. Centrifuge 1 unit Elektromag M4812P Turky 59.000.0003. CV. Vecto Kreasi Mandiri:No Nama Merk Type Negara Harga SatuanPeralatan Asal (Rp)1. Tempat Shima SM9014 A Indonesia 13.000.000Tidur New2.