CARGO MANIFEST

SHIPPER : CONSIGNEE :

CIPTA KRIDA BAHARI PT AMMAN MINERAL NUSA TENGGARA

Central Osowilangon Business Park – Blok K BATUHIJAU-SUMBAWA BARAT
Jl. Raya Tambak Osowilangon No.81D, Surabaya 60191
Phone : +62 31 985 41 000             ATTN: Andri Rahmanto/Putri Utami

DA :
Manifest.: CKB-167 TRUCK NO: DRIVER :

DIMENSION (CM) WEIGHT

No. Supplier PK DESCRIPTION PO. NO.
L W H V.K KG
1 PT WEIR MINERALS INDONESIA 1 117 114 48 0.64 822 BRIDGE ADAPTER 3000129916
2 PT WEIR MINERALS INDONESIA 1 117 114 48 0.64 823 BRIDGE ADAPTER 3000129904
2 1.3 1645

Surabaya , November 2022 Received by :

Date & Time :
Badge No. :

AMNT Project ( )
 Rec No MIGO PO SAP ITEM QTY

R110791644-10 5000171425 3000129916 10 4

R110890429-10 5000171452 3000129904 10 4
 STO OD Ship Del Ship Cost Inb Del

3000135502 8100011273 9200002077 8200009770