Original 1. Products consigned from (Exporters business name, address, country) SHIINDA CTANGSHAN) CREATIVE OIL & GAS EQUIPMENT Co. inp, HUATONG AVENUE FENGNAN INDUSTRIAL DEVELOPMENT ZONE, TANGSHAN, IEBEI PROVINCE, CHINA 2. Products consigned to (Consignee's name, address, country) PT ELNUSA TBK GGRAHA ELNUSA. ‘JL. TB. STAATUPANG KAV. 1B, KEL. CILANDAK TIMUR, KEC. PASAR MINGGU, JAKARTA 12560, INDONESTA ODI OKTORIADIGFLNUSA, CO. 1D/+62~21-78830850 (Country) NPWP:01, 00, .050, 3-051, 000 ice Ons NOE Reference No. £223360705630001 ASEAN-CHINA FREE TRADE ell PREFERENTIAL TARIFF CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) FORM E Issued in_THE PEOPLE'S REPUBLIC OF CHINA 8. Means of transport and route (as far as known) Departure date JAN. 04, 2022 Vessels name / Alcraftete. BAO WEALTH V2911 Port of Discharge JAKARTA, INDONESIA FROM XINGANG, CHINA TO JAKARTA, INDONESIA BY SEA 4. For Official Use Verification:origin. customs. gov.en ti sason/s ‘Signature of Authorised Signatory ofthe Importing Party ‘The undersigned hereby declares that the above details and statement are correct; that al tho produets were produced in CHINA (Country) for and that they comply with the origin requirements spe these products in the Rules of Origin for the ACETA for the products exported to INDONESIA (Importing Country) 2h SDMA UU SfgiSldee GF abihGrised signatory ‘S.llem [6 Marks and |7. Number and type of packages, description 9. Gross weight or net] 10. Number, Number] numbers on | of products (including quantity where weight or oher quenty,| date of appropriate and HS number in six digit coe) and value (FOB) only’ | Invoices when RVC citron s angled 1 hw [THREE (3) PACKAGES OF COILED TUBING, OD 1. “PE” GOOGOREET —_|PO-21085 15, ST70, JOINTED 20,000 FEET COILED 11 S8BOOKGS G.w. DBC. 22, 2021 METAL REEL WITH 1502 MALE UNION, OF STEEL fis CODE: 8431. 43 11, Declaration by the exporter 42. Certification 13. 1G Exnibition 1D Thied Panty Invoicing Gi Issued Retroactvely 1D Movement Ceriicate vg Shijiazhuang, China, JAN. 25,2022 signature and stamp of corttying authority 2040300035565,Triplicate 1 Produets consigned from (Exporte's business name, address, country) SHINDA”(TANGSHAN) CREATIVE OIL. & GAS EQUIPNENT CO. , in, HUATONG AVENUE FENGNAN INDUSTRIAL. DEVELOPMENT ‘ZONE, TANGSHAN, HEBET PROVINCE, CHINA 8, country) 2. Products consigned to (Consigns PT ELNUSA THK RAIA ELNUSA JL, TB. SIMATUPANG KAV, 1D, KEL, CILANDAK TIMUR, SEC. PASAR AMTRGGt, JAKARTA 12560, INDOMESTA. DOD! OKTORTADIeFLNUSA, CO. 1D/+62~21~78830850 NPWP:01. 00. . 050, 3-051. 000 Reference No. £225360705630001 ASEAN-CHINA FREE TRADE ARE: PREFERENTIAL TARIFF CERTIFICATE OF ORIGIN (Combined Declaration and Certificate) FORM E Issued in_THE PEOPLE'S REPUBLIC OF CHINA (Country) ‘See Overleaf Notes ‘3. Means of anspor’ and route (98 Taras known) Departure date JAN. 04, 2022 \Vossa's name /Aicraftete. BAD WEALTH V2911 Port of iecharge JAKARTA, INDGNESIA [FROM XINGANG, CHINA TO JAKARTA, INDONESIA BY SEA [4 For Oficial Use Verification:origin, customs. gov. en G Preferential Treatment Given Proferontia! Treatment Not Given (Plesse stale reason/s] Signature of Authorised Signatory of the Importing Party (CODE: 8431. 43, less eee nee see ck S.ttem [6 Marks and_|7. Number and type of packagos, description | 8 Origineriteria|9. Gross weight or nat | 10. Number, Number] numbers on | of proauets (inluding quantity whe (see Overleat | weightor ter quanty,| date of packages | appropriate and HS number in six cigit coae) | Notes) and value (FOB) ony | Invoices Wwinen RVC eon applied 1 je [THREE (3) PACKAGES OF COTLED TUBING, OD 1 ‘6O000FEET _PO-210%5 S58800KGS 6.W, fC. 22, 2021 {5 ST70, JOINTED 20,000 FEET COILED iN METAL REEL. WITH 1502 MALE UNION, OF STEEL 11, Declaration by the exporter ‘The undersigned hereby declares that he above detalls and statement are correct; that all the producte were produced In CHINA, (Country) ‘and that they comply with the origin requirements specified for these products in the Rules of Origin fr the ACETA for the products exported to "SDOESTA ‘ itoring Sour) eh ears ay zametona, ee (iS) ej tte Haha AN, PACU Uist toate GF abana 1 exnibition 1D Thiea Party invoicing 1 issued Retoactively 12. Certification Hn yg gn Shijiazhvang, China, JAN, 25,2022 Place and date, signature and stamp of certtying authority 1G Movement Certificate 220403000355555