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    L1726ACD

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    aris

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    L1726ACD

    Uploaded by

    aris
    18 views3 pages

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    © © All Rights Reserved

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    Copyright:

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    18 views3 pages

    L1726ACD

    Uploaded by

    aris

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    © All Rights Reserved
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    You are on page 1of 3

    8/2/24, 2:17 PM Merimen e-Claims

    ...INSURER REPORT...
    You cannot authorize this offer because:
    You do not have the permission rights required
    You do not have any approval limit

    Claim No: Date: 02/08/2024


    Repairer: PT.ASTRA INTERNATIONAL TBK TOYOTA SBY KENJERAN
    REFERENCE
    Insured: PT TAFS QQ DODY DAYU AJIE Policy No: 20022922001279
    Date of Loss: 05/07/2024 Nature of Claim: OD
    Sum Insured: Rp 314,706,400
    DESCRIPTION & IDENTIFICATION OF VEHICLE
    Reg. No: L1726ACD Type: MPV
    Make & Model: TOYOTA ALL NEW KIJANG INNOVA, 2.4 ALL NEW KIJANG INNOVA 2.4 G A/ (A) Reg. Date:
    Engine No: 2GDD028847 Chassis No: MHFJB8EM9N1102444

    Surveyed By: BAKTIAR ARIS WICAKSONO Handled By: CHANDIKA ARIESTIANTO


    Surveyed On: 08/07/2024 Report On: 08/07/2024
    Report completed by: BAKTIAR ARIS WICAKSONO Report completed on : 09/07/2024

    TOTAL OFFER
    Offer Initiated By: BAKTIAR ARIS WICAKSONO on 08 Jul 2024 16:53
    Rep. Gross Total: Rp5,178,910 [Diff: Rp507,114, 9.79%]
    Approved Gross Total: Rp4,671,796
    + VAT (PPN) (11.00%): Rp318,483
    Approved Gross Amount: Rp4,990,279
    - Own Retention: Rp600,000
    Approved Gross Offer: Rp4,390,279
    (No Betterment/Depreciation)

    COST OF CLAIMS Repairer's Our Offer Difference Diff %


    Parts 1,870,000 1,776,500 93,500 5.00
    Miscellaneous Items 0 0 0
    Paintwork Materials 0.00/0.00% 0 0 0
    Labour 3,308,910 2,895,296 413,614 12.50
    Towing 0 0 0

    Gross Total (Rp) 5,178,910 4,671,796 507,114 9.79


    + VAT (PPN) atas Jasa Penuh 11.00/11.00% (Rp) 363,980 318,483 45,497 12.50

    Gross Amount (Rp) 5,542,890 4,990,279 552,611 9.97

    https://indonesia.merimen.com/claims/index.cfm?fusebox=MTRinsurer&fuseaction=dsp_showrpt&caseid=6336909&tpins=0&CFID=82722444&C… 1/3
    8/2/24, 2:17 PM Merimen e-Claims

    REPAIR DETAILS
    Reference
    Part Source: MRM-ID Version: 3.5 (Last Synchronised: 17 Jul 2024)
    Parts: M1-MPV TOYOTA ALL NEW KIJANG INNOVA 2.4 ALL NEW KIJANG INNOVA 2.4 G A/ (A) (Catalogue:Merimen Indonesia TOYOTA 3.5 [01/07/2024])
    Labour: Repairer's (Price-denominated Standard List)
    Print Code: (Unsubmitted, no print-code for L1726ACD)
    Validity: These estimates are valid only if they contain the print code (above) on all estimate pages, running page numbers with the END OF ESTIMATES marker on
    the last estimate page
    Further Info: Items/values not in reference catalogue are prefixed with an asterisk *.

    Recommended Parts
    No. Qty Part No. Particulars Condition Svg Repairer's Price Amount

    1 1 811100K580 *HEADLAMP RH - 1,870,000 F - *1,870,000 FP


    F=Franchise part. P=PartDisc.
    Sub Total (Rp) 1,870,000 1,870,000
    - Part Discount on P Items 0.00/5.00% (Rp) 0 93,500

    Total Parts (Rp) 1,870,000 1,776,500

    Report was unsubmitted during this print-out.

    https://indonesia.merimen.com/claims/index.cfm?fusebox=MTRinsurer&fuseaction=dsp_showrpt&caseid=6336909&tpins=0&CFID=82722444&C… 2/3
    8/2/24, 2:17 PM Merimen e-Claims
    Recommended Miscellaneous Items
    There are no new miscellaneous items selected.

    Recommended Labour
    No Particulars Lab.Type Repairer's Amount

    Labour Items
    1 B/P HEADLAMP RH Ganti 105,450 105,450
    2 BUMPER FR Ketok 919,080 919,080
    3 QPANEL LH Ketok 1,234,320 1,234,320
    4 PINTU RR LH Ketok 1,050,060 1,050,060
    Material:0%, Labour:100%, Withholding Tax (PPH):0.00%

    Labour Cost (inclusive of taxes) (Rp) 3,308,910 3,308,910


    - 0.00/12.50% Labour Discount (Rp) 0 413,614

    Gross Labour after Discount (Rp) 3,308,910 2,895,296

    Report was unsubmitted during this print-out.

    < END OF REPORT >

    https://indonesia.merimen.com/claims/index.cfm?fusebox=MTRinsurer&fuseaction=dsp_showrpt&caseid=6336909&tpins=0&CFID=82722444&C… 3/3

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