Original saar4nsazs Smet aeons elrencoNe._000325/JMB/2020 PEPUTRA SUMBER UTAMA TIMBER /ASEAN-KOREA FREE TRADE AREA SAMPOERNA STRATEGIC SQUARE PREFERENTIAL TARI= NORT# TOWER 2187 FLOOR. ENDRAL SUDRUAN HAV A540 IARARTA SELATAN 12820, NOONESIA CERTIFICATE OF ORIGIN (Combined Declaration and Cartifcata) 2. Goods consigned to (Consigee's name, aes FORM AK can {sued in INDONESIA TAESHIN GLOBAL CO. LTD (coun) 380-2, WONGHANS DONG, ‘SEO, NCHEON, SOUTH KOREA See Notes Overt [3 ears ut ranspen aha rae (ae Tar we known) 4, For il Use relerntl Treatment Given Under ASEAN-Kare Dopara ate FEBRUARY 22000 Fre Trade Area Preerenta Tait occas name/Airaiel, 86,2547 V. 181 .N PrtereoatTrestnert Not Given Peake Sie roaone) Por ot Dachrse INcHON PORT, SOUTH KOREA Snare oaahraed Satay he ngeing a Son [6 Metaond | 7. Naber and ype of packages, 1 Ongnciteron | & Gomme wanhcr | 10. Nanber umber] " rumersan |” ceacipéon of goods Prag (eootetes | ter cant tnd sto eckages | uaety where apport and Oven sive ros | etinaces FS mumber! th mein cout] my when RUG stoson a ond + frags [2acrare = oroos na = 1.960 pes “wor |erooe ura coo00s43 cHON | CouNTRY OF ORIGW: INDGNESA aa.s70 Kos sanunee27, [SOUTKOREA. | INDONESIAN BOTH SIDES PHENOLIC FAL co MADEN [AGED PLYWOOD, ?PLY Gas AND INDONESIA | G1S.WaP-NO MINUS IN THICKNESS CREDIT JCRNO.728 |NO: MoarbDo:NUocz2e BATE: 200121 }.8 cove: 4612-91-6090 Ro PARTY INFORMATION: SAMKO TIMBER LTD 7300 ABEACH ROAD, THE PLAZA '#ora0G/207 SNOAPORE tea581 TEL 86 52482100, AX +45 628? SINGAPORE "1.Deckrton by he expan 12.Cerifeaion ‘The undersigned hereby declare that the above dots is hereby cetied, onthe basis of corre cared out, hal he and sloiemeris ore corect, that all the goods were ‘eclaraton by tha expararisconect produced in ISSUED RETROACTIVELY ISSUING OFFICE IN PROVINS| JAMBI REPUBLIC OF KOREA “importing County) [MUARO JAU. FEBRUARY 10,2020 Pace and dae, sgnatire of ‘eutorised signatory 48 The Counsy Invoicing 1 exietion 2 Backto-sack CO Page 1/1 Form AK Serial: AK- GAH- 3525