PT.

KOTA JATI FURINDO

HEAD OFFICE, SHOWROOM & FACTORY
Jl. Raya Jepara - Bangsri Km. 6.5 Desa Suwawal, Mlonggo, Jepara
Central Java, Indonesia
Tel. (+62-291) 596310, Fax. (+62-291) 596311
E-mail : factory_kj@kotajati.com, marketing@kotajati.com,
http://www.kotajati.com, http://www.kotajati.co.id

INVOICE
Buyer/ Applicant: INVOICE NO. : 014 / INV-KJF / A12 / XII / 2013
ASINDO LIMITED DATE : 20-Dec-13
RM 1602 SHUN KWONG COMM'L BLDG 8
DES VOEUX ROAD WEST PAYMNENT TERMS : T/T AGAINST COPY OF SHIPPING DOCS
SHEUNG WAN HONG KONG BANK DETAILS : TO BE TRANSFERRED TO :
THE HONGKONG AND SHANGHAI BANKING CO.LTD.
JL.GAJAHMADA 135 SEMARANG, CENTRAL JAVA, INDONESIA
BENEFICIARY NAME : PT. KOTA JATI FURINDO
ACCOUNT NUMBER # 007-064009-007
SWIFT CODE : HSBCIDJA

QTY Price/Unit Amount

Item No. Description
CTNS PCS (USD ) (USD )
ART NO. 753137200000
SUPPLIER REF. 3113-402-RTR / FOLDING ARMCHAIR
3113-402-RTR SEMARANG 21 42 $ 42.00 $ 1,764.00
PRODUCT SIZE : L58XW54XH88 CM
@ 2 PCS / CTN HS CODE : 9403.60.0000

ART NO. 753137300000

3113-211-RTR SUPPLIER REF. 3113-211-RTR / CHAIR SEMARANG 62 62 $ 47.50 $ 2,945.00

PRODUCT SIZE : L54XW56XH85 CM
@ 1 PC / CTN HS CODE : 9403.60.0000

ART NO. 753137400000

SUPPLIER REF. 3111-103-RTR / TABLE SEMARANG
3111-103-RTR 52 52 $ 322.50 $ 16,770.00
PRODUCT SIZE : L170X205/240XW100XH74 CM
@ 1 PC / CTN HS CODE : 9403.60.0000

135 156
TOTAL $ 21,479.00
CTNS PCS

GOODS DESCRIPTION:
1X20'C
AS PER CONTRACT 21067057
DELIVERY TERMS: FOB SEMARANG PORT, INDONESIA

INCOTERMS : FOB SEMARANG

ASINDO PURCHASE ORDER NO. : POID130019-1
MIGROS ORDER NO. : 0012913730
Container/Seal n. : PONU 0505045/20FT/ML-ID1259399
PORT OF LOADING : SEMARANG PORT, INDONESIA
PORT OF DISCHARGE : ROTTERDAM
PLACE OF DELIVERY : NEUENDORF, SWITZERLAND
ETD SEMARANG : December 23, 2013
ETA ROTTERDAM : January 24, 2014
VESSEL NAME : VEGA KAPPA V. 1402
CONNECTING VESSEL : EDITH MAERSK V. 1402
H.S.CODE : 9403.60.0000
REMARKS : Supplier Agent
PT. KOTA JATI FURINDO
 PT. KOTA JATI FURINDO
HEAD OFFICE, SHOWROOM & FACTORY
Jl. Raya Jepara - Bangsri Km. 6.5 Desa Suwawal, Mlonggo, Jepara
Central Java, Indonesia
Tel. (+62-291) 596310, Fax. (+62-291) 596311
E-mail : factory_kj@kotajati.com, marketing@kotajati.com,
http://www.kotajati.com, http://www.kotajati.co.id

PACKING LIST

Buyer/ Applicant: PACKING LIST NO : 014 / INV-KJF / A12 / XII / 2013

FEDERATION OF MIGROS COOPERATIVES DATE : 20 Dec 2013
LIMMATSTR. 152
8005 ZUERICH
SWITZERLAND

QTY Carton Dimension (cm) N.W/ctn N.W G.W/ctn G.W Vol.

Item No. Description
Ctns PCS L W H (kgs) KGS (kgs) KGS (CBM)
ART NO. 753137200000

3113-402-RTR SUPPLIER REF. 3113-402-RTR / FOLDING ARMCHAIR SEMARANG 21 42 111.5 49.5 28 15.00 315.00 17.00 357.00 3.245
PRODUCT SIZE : L58XW54XH88 CM
@ 2 PCS / CTN HS CODE : 9403.60.0000
ART NO. 753137300000

3113-211-RTR SUPPLIER REF. 3113-211-RTR / CHAIR SEMARANG 62 62 89 56.5 15.5 8.00 496.00 9.50 589.00 4.832
PRODUCT SIZE : L54XW56XH85 CM
@1 PC / CTN HS CODE : 9403.60.0000
ART NO. 753137400000
SUPPLIER REF. 3111-103-RTR / TABLE SEMARANG
3111-103-RTR 52 52 174 104 20.5 59.00 3,068.00 63.00 3,276.00 19.290
PRODUCT SIZE : L170X205/240XW100XH74 CM
@1 PC / CTN HS CODE : 9403.60.0000
135 156
TOTAL 3,879.00 4,222.00 27.368
CTNS PCS

GOODS DESCRIPTION:
1x20'C
AS PER CONTRACT 21067057
DELIVERY TERMS: FOB SEMARANG PORT, INDONESIA

ASINDO PURCHASE ORDER NO. POID130019-1

CONSIGNEE : FEDERATION OF MIGROS COOPERATIVES
LIMMATSTR. 152
8005 ZUERICH, SWITZERLAND
NOTIFY : SAME AS CONSIGNEE
MIGROS ORDER NO. : 0012913730
Container/Seal n. : PONU 0505045/20FT/ML-ID1259399
PORT OF LOADING : SEMARANG PORT, INDONESIA
PORT OF DISCHARGE : ROTTERDAM
PLACE OF DELIVERY : NEUENDORF, SWITZERLAND
ETD SEMARANG : December 23, 2013
ETA ROTTERDAM : January 24, 2014
VESSEL NAME : VEGA KAPPA V. 1402
CONNECTING VESSEL : EDITH MAERSK V. 1402
NETT WEIGHT : 3,879.00 KGS
GROSS WEIGHT : 4,222.00 KGS
VOLUME : 27.368 CBM
H.S.CODE : 9403.60.0000
MAERSK LINE SHIPPING LINE BILL OF LADING No.
SHIPPER
PT. KOTA JATI FURINDO
JL. RAYA JEPARA BANGSRI KM. 6.5
JEPARA CENTRAL JAVA, INDONESIA

Consignee: Notify Parties:

TO ORDER OF
FEDERATION OF MIGROS COOPERATIVES
LIMMATSTR. 152
8005 ZUERICH
SWITZERLAND

Vessel & Voyage No. Place of Receipt

VEGA KAPPA V. 1402 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Port of Loading Port of Discharge Place of Delivery

SEMARANG PORT, INDONESIA ROTTERDAM NEUENDORF, SWITZERLAND

PARTICULARS FURNISHED BY THE SHIPPER

Kind of Package, Description of Goods, Marks and Numbers, Container No/Seal No. Gross Cargo Measurement
Weight

1 Container Said to Contain 4,222.00 KGS 27.368 M3

....................................../ 20/DRY Shipper's Seal : .................................

135 CARTONS = 156 PCS OF

ART.NO. 7531.372, FOLDING ARMCHAIR SEMARANG L58XW54XH88 CM = 42 PCS.
ART.NO. 7531.373, CHAIR SEMARANG L54XW56XH85 CM = 62 PCS.
ART.NO. 7531.374, TABLE SEMARANG L170X205/240XW100XH74 CM = 52 PCS.
AS PER CONTRACT 21067057.
.
DELIVERY TERMS: FOB SEMARANG PORT, INDONESIA

N.W. : 3,879.00 KGS

INTENDED CONNECTING VESSEL BY

EDITH MAERSK V. 1402

FREIGTH COLLECT
CY/CY

Freight Charges

Place and Date of Issue Shipped on Board Date Signed on behalf of

SEMARANG…..
 DRAFT COO
1 Goods consigned from (exporter's business name, address country) Reference No.
PT. KOTA JATI FURINDO
JL. RAYA JEPARA BANGSRI KM. 6.5 GENERALIZED SYSTEM OF PREFERENCES
JEPARA CENTRAL JAVA, INDONESIA CERTIFICATE OF ORIGIN
(Combined declaration and certificate)

2 Goods consigned to (consignee's name address, country)

FEDERATION OF MIGROS COOPERATIVES FORM A
LIMMATSTR. 152
8005 ZUERICH
SWITZERLAND

3 Means of transport and route (as far as known) 4. For Offial use
SHIPPED BY: VEGA KAPPA V. 1402
FROM : SEMARANG PORT, INDONESIA ISSUED RETROSPECTIVELY
TO : ROTTERDAM
DATE : 23-Dec-13

5 Item 6. Marks and 7. Number and kind of packages description of goods 8. Origin 9. Gross weight 10. Number
Number numbers of criterion or other and date of
packages (see not quantity invoices
135 PX overleaf)
CONT/SEAL NO. : 135 CARTONS = 156 PCS OF
............................/20'C GW :
.............................. 4,222.00
KGS

NW :
3,879.00
KGS

MEAS :
27.368
CBM

11. Certification 12. Declaration by the exporter

It is hereby certified, on the basis of control carried out, that The undersigned hereby declares that the above
the declaration by the exporter is correct, statements are correct that all the goods were
produced in INDONESIA

and that they comply with the origin requirements

specified for those goods in the generalized
system of preferences for goods exported to
SWITZERLAND
ATTACHMENT CERTIFICATE OF ORIGIN (FORM A)
INVOICE NO. : ............................................
DATE : ..................................................

CONT/SEAL NO. : .................... / 20'C / ............................

135 CARTONS = 156 PCS OF

ART.NO. 7531.372, FOLDING ARMCHAIR SEMARANG L58XW54XH88 CM = 42 PCS.
ART.NO. 7531.373, CHAIR SEMARANG L54XW56XH85 CM = 62 PCS.
ART.NO. 7531.374, TABLE SEMARANG L170X205/240XW100XH74 CM = 52 PCS.
AS PER CONTRACT 21067057.
.
DELIVERY TERMS: FOB SEMARANG PORT, INDONESIA

NW : 3,879.00 KGS
GW : 4,222.00 KGS
MEAS : 27.368 CBM

POL : SEMARANG PORT, INDONESIA

POD : ROTTERDAM
PLACE OF DELIVERY : 'NEUENDORF, SWITZERLAND'
IMPORTING COUNTRY : 'SWITZERLAND'
 CERTIFICATE OF FUMIGATION

CONSIGMENT/COMMODITY : 135 CARTONS = 156 PCS

DESCRIPTION ART.NO. 7531.372, FOLDING ARMCHAIR SEMARANG L58XW54XH88 CM = 42 PCS.
ART.NO. 7531.373, CHAIR SEMARANG L54XW56XH85 CM = 62 PCS.
ART.NO. 7531.374, TABLE SEMARANG L170X205/240XW100XH74 CM = 52 PCS.
AS PER CONTRACT 21067057.
.
DELIVERY TERMS: FOB SEMARANG PORT, INDONESIA

G.W = 4,222.00 KGS N.W. = 3,879.00 KGS

VOLUME = 27.368 CBM

SHIPPER : PT. KOTA JATI FURINDO

Jl. Raya Jepara - Bangsri Km. 6.5
Jepara Central Java, Indonesia

CONSIGNEE : FEDERATION OF MIGROS COOPERATIVES

LIMMATSTR. 152
8005 ZUERICH
SWITZERLAND

NOTIFY PARTY : SAME AS CONSIGNEE

DESTINATION : ROTTERDAM
PLACE OF DELIVERY : NEUENDORF, SWITZERLAND
VESSEL NAME : VEGA KAPPA V. 1402
CONNECTING VESSEL : EDITH MAERSK V. 1402

CONTAINER/SEAL NO. :