Anns. MULTIMODAL DANGEROUS GOODS DECLARATION SL ROMPUNG KELAPA FL TTANGESANG THDOMESTA. 15127 ShippevContignow Sender "Transport Dovameal NunsbavBooking Namen ‘ROCHESTER MIDLAND CORPORATION ‘Shippers Referee 2200 ROCHESTER DRIVE bacua ‘ORDD00063353. ‘MONTGOMERY, IL 60538, US.A. Tiegh Foraker wre 65688002 Conse ‘Cartier (to be comple by cane [ROOHRETEN TINA THDOMTE ‘SHIPPERS DECLARATION kno moan S¢3 They det Once of cone we yw sorely sessed bo ye Pepe Shiplg Ne, nd a cd, od tnd Inbledplcanded, ed ae all apes in prope coaditon for iamsprt ‘eortng he spinel tol ovement reguon. “This sipmeat is wilin the Tnltaton preserTbod To (Delete non-plcable) Passenger And Cargo ‘Aiea ‘Only Cargo Areas ‘Emergency Response informatio ‘ROCHESTER MIDLAND CORPORATION -Ascount ID: 788¢7 INPOTRAC Inside USA: 1-800-535-5053 Outalde USA: 1352323-3500 Vessel end Dee PoriPiace of Losing NYKYUII/068 CAVAN PoriPlace of Discharge IDIKT Basetion Jakarta ‘Nanber ‘aa of Packages Proper Shipping Name Dewerition of Goods ‘Gross mass Cube @) Netmass 24 prams | uns264, CORROSIVE 6 Drums | una26e, conROSIVE LUNIRI/HL9/1S0/9/USA 232 1UN3264, CORROSIVE LIQUID, 8 TEL UN aHA/Yi.9/100/1/ SAKES LIQUID, ACIDIG, INORGANIC, 1.08, (PHOSPHORIC ACD), 8, 1, CLEANING COMPOUND. UN 1H4/Yi.9/100/19,i6ANA232 LiQUID, ACIDIC, ORGANIC, LOS, 1, CLEARING COMPOUND. foling Poi 118.C/ 245 F, LIQUID, ACIDIC, INORGANIC, NO, (HYDROCHLORIC KCI), coo | eset NOS, (PHOSPHORIC ACID), 8, wa euos | some ‘Seal Nambertay ‘Contin Veale Sie Type Tae Mas ‘Toul Gros (Gouin te) Ce) 40" standard 14,1249 tgs 14,614.8 kgs "RECEIVING ORGANIZATION RECHT. ‘edie the shove nur of pctagalcntsimeneules in sparen good orér end condi, ‘eee herear: BACHIVING OROANIZATION REMAREES” ‘Name of company Taian ane opaay (pp eae AND CORPORATION | (yc Lue CHESTER MIDLAND CORPORATION ‘Ran of deat "Vbidlray t. ‘Names of docert Maria Lazeano Gu ervey _Weirehouse Customer Service Rep. Customer Relations Manager eee TEA ‘Signature and date [oy October 30,2019 12/3 O)/Q__| casters, ans Sonate of cle pe of aca L I, Mb, Ny 6 5 a‘Creating Integrated Solutions Corporat Headquarses .RMIC vwnsochsiemidendcon «SFmamDim Tat 6) 3362000 ‘Hetand Corerton Reamer Mes ax: (685) 338-2480 COMMERCIAL INVOICE ‘Shiperesporer Rochester Mian Comp. Dae tooo | Pace 1 of 2 ‘2200 Rochastar Osivo CustomerP.0. 9H11/18-0ONT Morgomey, e068 a vas en Fright Terme Pek Up wlio: [PT ROCHESTER MITRA INDONESIA RUKO PREMIER 10-46 ALKAMPUNG KELAPA PLN Tangerang, 15117 Indonesia o- Booking Number: ‘Seal Number: Terme of Sao aro incoteana 2010 ie: FCA MONTGOMERY, IL Final Destination Location PT ROCHESTER MITRA INDONESIA ‘Commenta/Shipping Ineruetone: RUKO PREMIER C-18 FINAL DESTINATION: PT ROCHESTER MITRAANDONESIA JL KAMPUNNG KELAPA PLN ‘Tangerang, 18117 PICK UP OCEAN FREIGHT - MIDWEST PLANT -ON 840 Indovesia CONTAINER o- Intermediate Sip To Location Deccription of Goods Product Tauantiy [unit JAS. Yaris [unit ricetusA) Extends eee \oode [ricetUBA) [Ao soo WETAL CLEANER 000087 ‘aalBARREL [2000206090 ‘$1087.00 ‘$2888 5) lEao0 teiaeer ‘Bajpannel [2026 7000.00 ‘waa ‘sa688 23] |HDR-000 fiotria87 ‘e}BARREL [2800200020 was ss cr) Freight Gheroes Extended Prico( USA) [:OADNEPALLETING coARGES aceCreating Integrated Solutions ‘Corporate Hoadvarters “ww rochestermidiand com rman ‘Tek (686) 336-2200 eoreates SORA pac gejave200 COMMERCIAL INVOICE 7 acheter and Cop. ae: taearo [Paw 2 ot 2 £2200 Rochester Ove | Customer, 196385 CustomerP.0, 9/t1/19-CONT enone 0698 Sumoer i United Stee ROS Pau = orer Nando Front Toone PKU Exceptions: [Total Merchandise Valve (USA): $4726.88] [Total Freight Gost (USA): ‘$400.00 jOrder GRAND Total (USA): 947996.86) PT WHR NOTED We WEREDY CARTY TWAT MATERIAL COVEREDIN THIS NVOCE ARE OF LSA ORG, reese TECHNOLOQIES On sorTwane Wee exroNTED FROM Mi UNTEDsivTos KSEoRAAGGT an [i EXPORT ADuINTRATION REOULATIND, DNERGION GONTRAGS Tobe CAN SRSMRES Payne Ts PAYMENT TERMS: WIRE TRANSFER 8) DAYS FROM EX FACTORY SHIP DATE TO MAT BANK ONE MST PLAZA, BUFFALO, NEW [YORK 14202, USA, ABA NO. 022:0000-40, RMC ACCOUNT NO. 031-687-872. SWIFT NO. MANTUSSS. 6% MONTHLY SeiCe [CHARGE ON AMOUNT PAST DUE.Creating Integrated Solutions Corporate Headquarters _BMC rumchemiiudem teenth Tak phat te eres PACKING LIST ‘ShippertExportar fence Zaviwawrooe tong 08 Bute: PT ROCHESTER MITRA INDONESIA RUKO PREMIER I 0-46 “JL KAMPUNG KELAPA PLN Tangerang, 18117 om Contsnor Number o- Huu ssoerts L Ferme of Selo are Incotomne 2010 vi rettaactnion PT ROCHESTER MITRA INDONESIA ‘Commmente/Shipping Instructions: RUKO PREMIER IIC-6 FINAL DESTINATION: PT ROCHESTER MITRATNOONESIA JLKAMPUNG KELAPA PLN ‘Tangerang, 18117 PICK UP OCEAN FREIGHT - MIDWEST PLANT -ON AO” Indonesia CONTAINER o- Intermediate Ship To Location LS [Description of Goods [Product amount [Unit ‘Of Net Weight [Grose feubie Jcode [Pieces |(berkge) | Weightibe/us)_|Unitif¥imeter) [AC S00 METAL CLEANER {10001067 ‘24]BARREL 2] Tareaeeest|— tez1ee0018| — 190.082/6 97 jeac-10 [ive1a867 ‘2e[BARREL |. 24) taziaeoeze/ 1300202106] — i90.ce2/5.67| [HOA-1000 sonttae7 ‘|BARREL 6] sieaiaara| —— estareozs| 48.7717. 400] Excaptions: [Total Pieces: “| | [Tota Net Merchandise Weight (beigx): ‘srsoniei24| [Total Gross tierchandlve Weight (bigs. saazonaet4| [Tolsl Gross Weight wi Pails (Eka: [Tal Gubio Unk w Pais (malay,Creating Integrated Solutions Corporata Haaquartore _RMC wo cochestormilan.ocm sssrugeraine Tet: (695) 396-2000 ‘idan Cope em et a a8 86080 PACKING LIST iopeaporer Recht tard Cor oa: soaar0 Page 2 of 2 1200 Recher vo 5 featner GalenerP.O,artnecONT Mena 60688 roe we “ Ute Sten ‘Onno — pos [order number Fright T ‘Up | [Seemed EXCERY WHERE NOTED, WE VERESY CERTIFY THAT MATERAL COVERED TS AVOICE ARE OF U8 ORIGM | THESE COMMODITIES, TECHNOLOGIES OR SOFTWARE WERE EXPORTED FROM THE UNTED STATES IN ACCORDANCE WITH [THE EXPORT ADMINISTRATION REGULATIONS. DIVERSION CONTRARY TO U.S, LAW PROHIBITED. Payment Terme: PAYMENT TERMS: WIRE TRANSFER 60 DAYS FROMEX FACTORY SHIP DATE TO MAT SANK, ONE MAT PLAZA, BUFFALO, NEW YORK 14202. USA. ABA NO. 022:0000-48, RIC ACCOUNT NO. 011-587-872. SWIFT NO. MANTUSSS. 1.6% UONTHLY [CHARGE ON AMOUNT PAST DUE. tg Fosgn Pine Fay finest mt determine any export Reeeereureraia lO oban ay exper eae or oer ol Juthorzation, and to cary out any custome forth export of goose. Rocheetet Mand ‘an Authorized Agent cengnsted by Rochowtar ind Sorporaon vl arom ay lectente expos nemnaee recordanco mi U.. Gstme & [Bureau of industry & Securtyinehuding the fling of Automated Export Syetams (AES), Tranafr of product ownership oceus whan the foi eaponabilty is clay cued by the Foreign Principle Paty ao defined by the neotrms 2010 on thle document. The Forlan Pncpa Paty of nreet eee to he tris and condone expressly outed In tv document upon aceniancs of the seme: Chis neew0 ‘Customer Relations ManagerCorporate Headquarters Tel: 85.536-2200 R 186 Paragon Drive Fax: 3859962430 Rochester, MY 14624, USA Lr, FERPA Verified Gross Mass Certification Montgomery, I. 80536 [Domestic inland Garden’ —|Pro Number PH: 820-206-8543 Wao eal Namba 65698002, loorre01 [Sontaner#: POF, PT ROCHESTER MITRA INDONESIA |HLXU 640871-4 lertri9.cont #1 RUKO PREMIER 11 C-15 JUL KAMPUNG KELAPA PLN |TANGERANG INDONESIA 15117 |Contalner Taro Weight: 8,160.00 Lbs. IChaseie Weight: 0.00 Lbs. Ct ron, ent") |Cargo Weight 33,238.00 Lbs. tne. Carge, packagina, dunnag,palets and securing meters) Total Grose Mass: 44,398.00 Los. ‘tte hareby decared thatthe undersigned has prepared the Verfled Groes Mass Cartifenion in accordance with SOLAS Amendment. Gorm [Maria Lazcano |APC Customer Service |October 30, 2019Page:1 OF 1 STRAIGHT BILL OF LADING - SHORT FORM. Date: 10/30/2019 12:05 PM ae eer copeeton ORIGINAL - NON NEGOTIABLE DELIVERY: 76320 DEPART DATE: 10/30/19 VEHICLE: HLXU 540671-4 FREIGHT TERMS: Pick Up CARRIER: YOUR DELIVERY DESCRIPTION: WAYBILL: 76320 ‘SEAL: 007601 [PO #S: 8/11/19-CONT #1 ‘SHIPPER: CONSIGNEE: Rochester Midland Corp. PT ROCHESTER MITRA INDONESIA 2200 Rochester Drive RUKO PREMIER II C-15, Montgomery, IL 60538 JL KAMPUNG KELAPA PLN (630) 896-8543 Tangerang, 1117 ‘Ship to Customer Phone # ) = BILL OF LADING INSTRUCTIONS / NOTES PIECES HM DESCRIPTION ‘WEIGHT 30 BARREL XX _—_UN3264, CORROSIVE LIQUID, ACIDIC, INORGANIC, 18,628 LB N.O.S,, (PHOSPHORIC ACID), 8, II, CLEANING. ‘COMPOUNDS, 56 24 BARREL —X ~—_UN3264, CORROSIVE LIQUID, ACIDIC, INORGANIC, 13,692 LB N.O.S,, (HYDROCHLORIC ACID), 8, II, 55 dea PALLETS FOR SHIPPING, 55 9,176 LB 84 TOTAL PIECES TOTAL WEIGHT 44,396 LB SSCEVeD net ees wm lc ne fi te ta appt cel eh po dey, cu ana tam Si gees Cape re ys yo el eee sneer ey nye sd oo eos ba St ‘ser earsa be patos fab sje tl bl ad ome a moon Pe Qo esncaon an Bo dol st SRE erate eter atone tet erm wecanton mt owt neta at ne aneartone waayayaed 9b se nt ‘This it cory hat the above named materia are propery cessed described, packaged, marked and labeled and ae in proper cond for Farsparaon, sccorting to the applcsierg.laons ofthe Departs ct Transpartaton. ‘SHIPPER: ROCHESTER MIDLAND CORPORATION RRER Wc HOLS A EMERGENCY RESPONSE NUMBER: 1-800.535-6043 Sa CE axes CONC VL oueeus cat rasan ‘Account ID: 78847 /INFOTRAC.