PT. DAVINA SUKSES MANDIR! —— SHIPPING COMPANY Acceptance Official Report No: 013/DSM-BTH/BAST/I1/2022 ‘On this day, We, the undersigned below, are: ‘Company Name PT. DAVINA SUKSES MANDIRI Address Ruko CNN Blok B2 No 9, Batu Besar, Nongsa, Batam, Indonesia ‘Who becomes the FIRST PARTY Name Lalenan Vessel Name MY. GUOLIANG 288 In Charge Name - Position » Crewing ‘Who becomes the SECOND PARTY, ‘The first party receive deliver the goods/documentsto the second party, and the second party claims to have receive deliver the goods/documents from the first party in the form of: No | Type of Goods/Documents Quantity Remarks ] (Nomor) (JenisBarang/Dokumen) (Kuantiti) (Keterangan) Seis Chinn 7 | 2. ‘Certificate Of Deletion OF Ship a |RSS ececere ooienate 3 Memorandum ‘Of Agreement T 7 Pecos OTD ATR | —T 5 BilerSae i % Invoice / Packing List T 7 Satu Buku China T ‘& Dua Kertas China 2 vuran Keil This official report of the acceptance of these goods ‘documents was made by both sids in earnest. Afier this, the item becomes the responsibility of the second party to maintain, care for, and use properly, Batam, 08 Februari 2022 Delivered By, Received By, ae, 5 co Maalewan He. Batam Branch Office : Ruko Citra Nusa Niaga, Blok 82, No.09, Batu Besar, Nongsa, Batam 23467, Kepulauan Riau - Indonesia ‘email: batam@davinasm.com // davinasmbatam@gmailcom Tel +62778 7100740, Fax. +62778 7100439