Invoice number # GB018/AUG

Invoice Date

COMMERCIAL INVOICE #
NAME : Mohammad Syafa Arridho
PHONE : (+62) 82140636093 EMAIL: syafa.arridho49.ra@gmail.com
ADDRESS : Jl. Ki Hajar Dewantara GG.II/12, Jombatan,
Shipper Jombang, Jawa Timur, Indonesia

NAME : Benito Reynart

PHONE : (+32) 4229 1974229 EMAIL: Benito.RY1@gmail.com
Consignep ADDRESS : Hopland 2, 2000 Antwerpen, Belgia

Purpose : Country of Export Country of destination

Personal export country Indonesia import country Belgium
Description of goods Qty (Kg) Unit Value/Kg Total Value (USD)
Chili 2,000 USD 3.50 USD 7,000.00
Petai 2,000 USD 1.30 USD 2,600.00
Red Ginger 2,000 USD 0.80 USD 1,600.00
Dry Curcuma 2,000 USD 1.80 USD 3,600.00
Corn 2,000 USD 0.80 USD 1,600.00
White Mustard 2,000 USD 1.80 USD 3,600.00
Pottato 4,000 USD 2.00 USD 8,000.00
Carrot 2,000 USD 0.80 USD 1,600.00

Invoice Value : USD 29,600

Invoice number # : GB018/AUG
Invoice Date :
PACKING LIST
NAME : Mohammad Syafa Arridho
PHONE : (+62) 82140636093 EMAIL:
ADDRESS : Jl. Ki Hajar Dewantara GG.II/12, Jombatan,
Shipper Jombang, Jawa Timur, Indonesia

NAME : Benito Reynart

PHONE : (+32) 4229 1974229 EMAIL:
ADDRESS : Hopland 2, 2000 Antwerpen, Belgia
Receiver

Quantity Packaging Weight Volume

1 Box Fresh Vegetable 15 132x20x76cm
 syafa.arridho49.ra@gmail.com
Jombatan,

Benito.RY1@gmail.com

Description
Fresh Vegetables
Your Company Inc. Bill of Lad
Address
City, State, ZIP

FROM TO
Name Name
Company
Street
Date 09/29/21 City, State
Dept Acct Zip Code

Number Kind of Package, Weight

of Description of Articles, (Subject
Packages Special Marks, and Exceptions to Change) Serial N

Shipping Instructions For Shippin

Check One Payment Method
Next Day Shipper Bill No.
Second Day Recipient Ship. Cost
Routine Third Party
COD Amt Due

Delivered by Date

Received by Date
COMMENTS
Bill of Lading
No.: 0

TO

Serial Numbers

For Shipping Use Only

Date
Shipped By
Dept. Chgd

# Boxes