Original
‘5237481421
1. Goods consign rm (Espa bsiess name, Relerreo Ne. 0000325/JMB/2020
adres, cunt)
PE PUTRA SUNBER UTAMA TIMBER [ASEAN-KOREA FREE TRADE AREA
SAMPOERNA STRATEGIC SQUARE PREFERENTIAL TARIFF
NORTH TOWER 21ST FLOOR, JENORAL
SUDIRWAN KAV.AS46 JAKARTA SELATAN 12090, INDONESIA CERTIFICATE OF ORM.
(Combined Declaration and Certificate)
2 Gade consigned (Cansgrest rae dre FORM AK
comin) {Issued in INDONESIA
‘TAESHIN GLOBAL CO.,LTD (Country
280-2, WONGHANG DONG,
'SEO-KU, NCHEON, SOUTH KOREA See Notes Overieat
‘Moana a waneport ana oe (Tae Kroon) 1 Perot Ue
Treatment Given Under ABEANKorea
Depa Date FEBRUARY 22020 Fre Trade Aa Proerntal Ta
VoosetenameiAicaltete, 86, LL2617V. 181 JN Peforenia Trestment Not en Pease
tte razors)
Parte charge INGHON PORT. SOUTH KOREA
Slpraure of auborisad Sera ob Inporing
Caunry
tem | & Wake and | 7. Nur and bpe of peckopes, . Ofginateren | & Gross weight er | 10. Number
rnonber| numbers on | ecription of poo nduding (see Neos ‘ther quit and dole
paciages | quaity where sopra an Overaa andvaue FO | otivacan
HS rumber of heimporing county) ny when RVC
tefen's used)
+ [Tacs 28 CRATE = 67.098 ws = 1.960 PIECES cwor |erca6uro ssoovosons
INCHON [COUNTRY OF ORIGIN INDONESIA 40,570 Kos IANUARY 27,
ISOUTHKOREA | NOONESIAN BOTH SIDES PHENOLIC FEAL 20
MADEIN. | FACED PLYWOOD, 7PLY G25.AND
NOCNESIA | SISW/BP.NO MINUS IN THICKNESS CREDIT
for wo.t28 | No Moseoo0;Nuooz26 DATE: 200123
HS CODE: 4412.11-8090
HIRO PARTY INFORMATION: SANKO TIVBER.
LTO 7500 ABEACH ROAD, THE PLIZA
#08-205307 SNGAPORE 199504 TEL: +65.
so0a21e0, ax, + 65 eann218?
SINGAPORE
“Ts Deciraon byte exparior 12. Certeaton
“The undersigned hereby declores thet the above details is hereby ceri, en the basi of control cared out, thet the
and slatomenis are conect; that ll the goods were