Goods consigned from Reference No.

42299/SMR/2009
Farid Suhendi Co.Ltd
Jl. Multatuli No.120 Medan 21002
Sumatera Utara – Indonesia
Phone : +6261 6872 6841 GENERALYZED SYSYTEM OF REFERENCE
Fax : +6261 8821 912 CERTIFICATE ORIGIN
Goods consigned to (Combined declaration and certificate)
Office Tech Commercial Services W.L.L
P.O Box, 21263 FORM A
Manama Kingdom of Bahrain Issued In INDONESIA
Tel: 00973 17 533320
Fax: 00973 17 533120
Mob: 00973 36 344429
Means of transport and route for official use
- Shipped By Foreign Express
Issued retrospectively
- From Indonesia

- To : Bahrain

Item Marks and Number and kind of package, description of goods Origin criterion Gross weight Number and
Num number of or other date invoice
Ber package quantity

2 X 20’ container’s ID 38.744Kgs SKU8878790BR

Seal No Said to contain
16.000 ream of Paper One Multi All August, 2009
Container’s Purpose A4 80gsm
No. CRXU-3245652 / CT-209440 N.W
38.400Kgs

*****************************************************

Certification Declaration by the exporter:

It is hereby certified, on the basis of control carrier out, The undersigned hereby declares that the above detail
That the declaration by the exporter the correct and statements are correct. Those as the good were

Production in INDONESIA

And that they comply will the origin Requirements

PROVINSIAL OFFICE specified for those goods are the general system of
SUMUT reference. For goods Exporter.

BAHRAIN

Medan, August 2009 Medan, August 2009