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REPUBLIC OF INDONESIA
I\IJNISTRY OF AGRICULTURE
AGENCY FOR AGRICULTURAL QUARANTINE
KT-10

PHYTOSANITARY CERTIFICATE
No: 2019 2.0401 0 K10 E 009912

TECT]QN/QUARANT NE ORGANIZ-ATION
OF ITALY

I DESCRJPTION OF CONSIGNI\4ENT

Na -e ard aoa'prs oi e\ poner. CV..PFIMA PAPUA


JL, PETRO.CHINA NO,22KAMPUNG INAMO.KLALIN ViWARMON,aIMAS.SORONG"INDONESIA

Deciared name and address ol consiqiee: VENEIA PARCHETTI.1957S,R.L


vlARR.. LOMFARp I L3J.03! ARCADE.fiy) p. rvi rT 04903A1 026?.NoIjF. Y
BYDGOSKA 16 62-005 OwlNSKA
Numberand description oipackases 24 BUNDLES.t.X.20l .CONTAINER NOISEAL.NO 1FC1U484626.0{0586357

Dslnquishlng marks .N/114.

P a,e o'orqr1 SURABAYA INDoNESIA ......


Declared means orconveyan@ .NAVIoUS.VERDE y.042N ,.. ... ..... .... .. .....
De-t.r"a po I. o ellf..yENEZIA.JTALY
Name or produ@ and quantily declared:GW.j 19,373-01IKGS. NW i.1.9,223-00 KGS CONSIST.OF
grAq=21-526.M3
?tr BUN_DL.ES.:
"4.2. -0-
P
-0.
IECES :.:1.q,q228 M3 0r MEBBAU E,LqoBI!\!,G I&G.4 S.3 PU|!91E9 :2,1q0 PlEe.E,s =
2 9031 IM3 OF IMERBAU INDIJSTRIAL PARQUET . .. ..
Bo.ar ' dtlr-e o'pl.1s lntsia btuga

Th s isio certifv that lhe planls or planl producis or oiher regulated arlic es described here n have bee. inspecied afd/or
tesied according to approprlate offcia procedlres and are consdered to be free frorn lhe quaranine p€sts speclied
by ihe lmporung contactng party and to conform wth the curreni phytosanilary requiremenis ol the mportng
contracting parly inc udlng lhose for reg! aied nof-quarantine pesis.
Thev are deemed lo be praclca ly free lrom other pests")

I] ADD TIONAL DECLARATION

JII DlS NFESTATION ANO/OR DISINFECTION IREATI\IENT

Date l4al 1.Q, .2.011-s-. rrearmert frJ!!!lF.AIt !!


c;;..i";aME:rHy! BsqMlDEtcFgsB)..... .. .. .. . . . D!rallon ard lempe.ature
concentraton 4.9 QBAMS/1V3...... ..... .

Add tioia nrormat on FU!!!!Q4.I.,EA.FY.PBAIlAA8.A.ENIUlll.998P..-oBAl!91! sUE4PAYACER.rltrgAIq NUMPFB :

0088219 . ),: .. ., il. ... ..

P ace of issue: SUMBAYA .. . ... .. . .


Name orauthorzed olil@r SEIYo.ADI NGADENAN,.SP .

Date: NIAY 22,.2019... \.


;t)
cenfticate shall alta.h lo Plant Setuice af lndanesia at la any al ts athceB at

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