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Consignee's Name and Address Consignee's Account Numb It is agreed that the goods described herein are accepted in apparent good order and
condition
(except as noted) for carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE REVERSE HEREOF. ALL
GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROAD OR ANY OTHER CARRIER UNLESS
BP DORI BONARDO/ JEFFRY SPECIFIC CONTRARY INSTRUCTIONS ARE GIVEN HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT
BENGKULU THE SHIPMENT MAY BE CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS
APPROPRIATE. THE SHIPPER’S ATTENTION IS DRAWN TO THE NOTICE CONCERNING CARRIER’S
BENGKULU LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by declaring a higher value for carriage
ID and paying a supplemental charge if required.
Issuing Carrier's Agent Name and City Accounting Information
-
Prepaid wt.Carge Collect Other Charges
962,500 BCA 2030380340
Handling MANDIRI 1770000181021 A/N FARHAN HIDAYAT
Xray
200,000
Administrasi shiper certiflis that the particular on the face hereof are corect and that insofar as anypart
of the consigment containent dangeraous goods such part is properly described by name
50,000
iand is proper condition for carrlage by air according to the aplicable dangerous goods
Packing
130,000
Signature of Shipper or his Agent
Total Prepaid Total Collect
1,342,500 17-Feb-23
Currency Conversion Rat cc charges in Dest. Currency JAKARTA
IDR Executed (Date) (Place) Signature of issuing camfreir or its agent
For Carriers Use only Charges at Destination Total Collect Charges
at Destination