RECEIPT

Fuel Cell Store Date Added: 05/08/2019

1902 Pinon Drive, Suite B
Order ID: 12673
College Station, Texas 77845
Payment Method: Credit / Debit Card
Telephone: (979) 703-1925 Shipping Method: UPS Worldwide Expedited
Fax: (979) 314-1122 W P
Email: sales@fuelcellstore.com
Website: fuelcellstore.com PK S

Payment Address Shipping Address

Yohanes Cahyono Yohanes Cahyono

Kalialang Baru RT 04 RW 07 Sukorejo Gunungpati Kalialang Baru RT 04 RW 07 Sukorejo Gunungpati
Semarang 50221 Semarang 50221
Jawa Tengah Jawa Tengah
Indonesia Indonesia
yohanesagungc002@gmail.com
089674966770

Product Name Model Quantity Unit Price Total

Nafion 117
591239-1 1 $62.00 $62.00
- Size (cm): 15 x 15

Sub-Total: $62.00

UPS Worldwide Expedited: $57.31

Total: $119.31

International Customs, Fees, and Taxes

Please note that the Fuel Cell Store is not responsible for any possible import duties, taxes, fees, or other charges made
by Indonesia or any other country upon the importation of your package. These charges are the buyer's responsibility.

If you have trouble paying these fees or have any questions please contact us at info@fuelcellstore.com.