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COMMERCIAL INVOICE/PACKING LIST

Shipper : KUEHNE+NAGEL PTE LTD Commercial Invoice No. 000000130696


O/B PT. AMMAN MINERAL NUSA TENGGARA Invoice Date.......... 13 MAY 23
3 BENOI ROAD SINGAPORE 629877 Masterlist BKPM No.... 340/2009
Container Type........
Forwarding Depot : SINGAPORE Container Number...... Loose Cargo

Consignee : PT AMMAN MINERAL NUSA TENGGARA


ENERGY BUILDING 28TH FL. SCBD LOT 11A
JL. JEND. SUDIRMAN KAV. 52-53
JAKARTA SELATAN

Receiving Depot : PT AMMAN MINERAL NUSA TENGGARA


DENPASAR

Notify Party : SAME AS CONSIGNEE


PT AMMAN MINERAL NUSA TENGGARA
SUMBAWA

Material Document H.S. Cat Ori- Quantity Unit Curr Extended Freight Insu- C.I.F
& Item Number Number gin Price Price rance
00001 5000258097 0001 9026.80.00 H0206 SG 2.00 EA 9966.65 USD 19933.30 688.80 103.11 20725.21
WATER IN OIL ANALYZER
ZT-100 I-SERIES WATER-CUT METERS
POWER 24VDC OUTPUT 4-20MA
HART DIGITAL INTERFACE
CONNECTION ASME B16.5 3IN-#150
00002 5000258418 0001 9017.80.00 I0103 US 1.00 SET 2738.76 USD 2738.76 81.04 14.10 2833.90
OLYMPUS 45MG-X-MT-E-EN U8201413 45MG
DIGITAL ULTRASONIC THICKNESS GAGE.
STANDARD KIT INCLUDES:45MG-CC CARRYING
CASE, 45MG

We Hereby Certify This Invoice is True and Correct Page : 1


COMMERCIAL INVOICE/PACKING LIST

Commercial Invoice No. 000000130696


Invoice Date.......... 13 MAY 23
Container Number...... Loose Cargo

Material Document H.S. Cat Ori- Quantity Unit Curr Extended Freight Insu- C.I.F
& Item Number Number gin Price Price rance
00003 5000258849 0001 8531.10.90 J0115 SE 2.00 EA 916.92 USD 1833.84 20.26 9.27 1863.37
BONAB ALARM LAN53-2 POWER SUPPLY 12-24
VDC, ALARM INPUT 1-12 MFR. BONAB AB

NO. OF CASES 3 Weight (KG) 39.00 TOTAL QTY 5.00 Total Total Total Total
Extended Freight Insurance C.I.F
TOTAL CUBIC Mt 0.22 TOTAL INVOICE USD 24505.90 790.10 126.48 25422.48
****************************************************** END OF REPORT *********************************************************

We Hereby Certify This Invoice is True and Correct Page : 2

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