CUSTOMS DECLARATION CN 23 EMS

PT POS INDONESIA (Persero) May be opened officialy

Importer reference (if any) (tax code/VAt No./Importer Code) (optional)
Declaration ID
Importer's telephone/fax/email (if known)
C D S 0 2 2 3 8 6 4 5 4 6 35699822214 adicasta1@gmail.com
From Name ADICASTA GUITAR STORE Sender customs reference To Name MARK VASSALLO CESAREO
NIK-3505140404870002
Address BENDOSEWU TALUN KAB BLITAR JAWA Address : MS KLIZIA MIRITELLO VIA ORTENSIA 1 CATENANUOVA ENNA 94010
TIMUR SICILY ITALY
Postcode 66183 City : KAB. BLITAR Postcode 94010 City CATENANUOVA 414302
Country ID-INDONESIA JAWA TIMUR Country IT-ITALY ITALY
Tel. 082299099900 E-mail adicasta1@gmail.com Tel. 35699822214 E-mail adicasta1@gmail.com

Net weight For commersial item only

Detailed description of contents Quantity Total weight Value Total Value
(in kg) HS tarif number Country of origin of goods
ELECTRIC GUITAR 1 15,4 15,4 159,34 USD 159,3 USD 920710
Category of item Sales of goods Commercial sample Acceptance information
X Gift Returned Goods Others Item weight (kg) 15,4
Documents Mixed content Postal charge/fes
Comments (11) : (e.g goods subject to quarantine, sanitary/phytosanitary inspection or other restriction) Insurance
Total
Licence Certificate Invoice Office
No(s). of licence(s) No(s). of certificate(s) No(s). of invoice Date / time 10/02/2023 20:58
I certify that the particulars given in this custom declaration are correct and that Date and signature Delivery information
this item does not contain any dangerous article or articles prohibited by legisation 2023-02-10 20:58:39
Date / time Signature
or by postal or customs regulations
Person name