Remant Cool Logistics nv

Oudeleeuwenrui 25
2000 Antwerpen
T +32 3 303 26 00, info@remant.be IBAN BE80 3630 8049 4377 BIC BBRUBEBB ING EUR/USD
IBAN BE72 7310 1465 1116 BIC KREDBEBB KBC EUR/USD
RPR Antwerpen, BTW BE0831570112, Verg./Lic.

INVOICE

Invoice to
PT. DPO INDONESIA
Remant Cool Logistics nv
BE0831570112 KOMP. DUTA INDAH ICONIC,UNIT C41 -42, JL. M.H.
Oudeleeuwenrui 25 THAMRIN, KEBON NANAS, RT.004/RW.002,
2000 Antwerpen PANUNGGANGAN UTARA, PINANG 15143 TANGERANG,
Belgium BANTEN, INDONESIA 033193699086000

Indonesia

Invoice date 21/05/2022

Due date 05/07/2022
Invoice number 223008334
Customer number 2295
Contact person Tiffany Ngui
Your ref DICPO006059-1
Our reference CBE2205716

Routing
Antwerpen, Belgium Jakarta, Java, Indonesia MSC JADE FL219E
ATD: 21/05/2022 04:00 ETA: 28/06/2022

Container
MSMU6989354 1 x 40' high cube dry container

Seals
MSMU6989354 1895816

Commodities
25.00 Pallet(s) 29400000 - Sugars, chem pure, their ethers, esters, salts in 18750.000 kg 18900.000 kg 55.000 m3

Invoice
Description UOM # UOM price VAT% VAT Total excl VAT
FOB costs Container(s) 1.00 1225.00 € 1.000000 0% 0.00 € 1225.00 €
Seafreight Container(s) 1.00 1375.00 € 1.000000 0% 0.00 € 1375.00 €

Amount excl. VAT 2600.00 €

Amount VAT 0.00 €
Amount incl. VAT 2600.00 €
Last date of payment 05/07/2022
Structured message: +++422/3008/33438+++

Terms & Conditions

All our transactions are subject to the Belgian Freight Forwarding Standard Trading Conditions 2005. The text of those conditions has been published
under number 0090237 in the Annexe au Moniteur Belge dated June 24th, 2005, and is available free of charge upon request or can be consulted on our
website.
 Remant Cool Logistics nv
Oudeleeuwenrui 25
2000 Antwerpen
T +32 3 303 26 00, info@remant.be IBAN BE80 3630 8049 4377 BIC BBRUBEBB ING EUR/USD
IBAN BE72 7310 1465 1116 BIC KREDBEBB KBC EUR/USD
RPR Antwerpen, BTW BE0831570112, Verg./Lic.

VAT details
VAT Amount excl. Amount Amount incl.
VAT details
percentage VAT VAT VAT
Exempted of VAT according to article 41 par1, 3rd of the Belgian
0 2600.00 0.00 2600.00
VAT code

Terms & Conditions

All our transactions are subject to the Belgian Freight Forwarding Standard Trading Conditions 2005. The text of those conditions has been published
under number 0090237 in the Annexe au Moniteur Belge dated June 24th, 2005, and is available free of charge upon request or can be consulted on our
website.
 MEDITERRANEAN SHIPPING COMPANY S.A. SEA WAYBILL No. MEDUAH704572
"Port-To-Port" or
NOT NEGOTIABLE - COPY "Combined Transport"
12-14, chemin Rieu - CH -1208 GENEVA, Switzerland (see Clause 1)

NO. & SEQUENCE OF SEA WAYBILLS NO. OF RIDER PAGES

website: www.msc.com SCAC Code: MEDU
0 Zero
SHIPPER: Ref #: DICPO006059-1 CARRIER'S AGENTS ENDORSEMENTS: (Include Agent(s) at POD)
BENEO-PALATINIT GMBH SHIPPER'S LOAD, COUNT AND SEALED
Maximilianstrase 10 INCOTERM mentioned strictly without prejudice to the Terms of the contract of Carriage
68165 Mannheim FCLFCL
Germany
Lloyds/IMO Number: 9762326
"Said to contain, the carrier had no means to verify shipper's representation and the latter to be ultimately
responsible for short- ages established at destination in case the container is discharged with the same
seal as noted on this bill of lading".
CONSIGNEE:
PT. DPO INDONESIA SHIPPER'S LOAD, STOW AND COUNT
KOMP. DUTA INDAH ICONIC,UNIT C41-42, SHIPPER DECLARES THAT ANY APPLICABLE WOOD PACKAGING MATERIALS COMPLY WITH ISPM15
JL. M.H. THAMRIN, KEBON NANAS, REGULATIONS. FAILURE TO COMPLY WILL RESULT IN CO NTAINERS BEING RETURNED TO LOAD PORT OR
CARGO DESTROYED - ALL COSTS/FINES/PENALTIES WILL BE FOR
RT.004/RW.002, PANUNGGANGAN UTARA, [Continued in the Description section]
PINANG 15143 TANGERANG, BANTEN* PORT OF DISCHARGE AGENT:

PT. PERUSAHAAN PELAYARAN NUSANTARA

PANURJWAN Capital Place Building, 39th
NOTIFY PARTIES: (No responsibility shall attach to Carrier or to his Agent for failure to notify - see Floor
Clause 20) Jl. Jend. Gatot Subroto Kav. 18
PT. DPO INDONESIA Mampang Prapatan, Jakarta 12710
Jakarta, Java, 12710 Phone : +62 21 5080 5000
KOMP. DUTA INDAH ICONIC,UNIT C41-42, Email: idn-info@msc.com
JL. M.H. THAMRIN, KEBON NANAS, Fax : +62 21 5080 5001
RT.004/RW.002, PANUNGGANGAN UTARA, 7777777707070700077727252075513320760431633202751107213225201372226077034063264113310723152400270130007367166500077130077763434205775110777777707000707007
PINANG 15143 TANGERANG, BANTEN* 7777777707070700073717476715546710722620345431774007745134366246755077371201071106410722732446434477307007504413263113077565273555654040777777707000707007
7777777707070700073632475025771110767315640037063107641142712267531073070423222513330772267113164326507366471555601241076160376622577730777777707000707007
6666666606060600062602046220006600622206602244004206222246002642260064204422624000020662402200426600206460046262004420062420066604640000666666606000606006
VESSEL AND VOYAGE NO. (see Clause 8 & 9) PORT OF LOADING PLACE OF RECEIPT: (Combined Transport ONLY - see Clauses 1 & 5.2)

MSC JADE - FL219E Antwerpen XXXXXXXXXXXXXXXX

BOOKING REF. (or) SHIPPER'S REF. PORT OF DISCHARGE PLACE OF DELIVERY: (Combined Transport ONLY - see Clauses 1 & 5.2)

213B1487787 Jakarta, Java XXXXXXXXXXXXXXXX

XXXXXXXXXXXXXXXX
PARTICULARS FURNISHED BY THE SHIPPER - NOT CHECKED BY CARRIER - C A R R I E R N O T R E S P O N S I B L E (see Clause 14)

Container Numbers, Seal Description of Packages and Goods Gross Cargo Measurement
Numbers and Marks (Continued on attached Bill of Lading Rider page(s), if applicable) Weight
continued from Carrier's Agent Endorsements:
SHIPPERS ACCOUNT
Freight forwarder's reference number: CBE2205716

MSMU6989354 25 Pallet(s) STC 750 BAGS PALATINOSE (TM) PST-N BAG 25KG NET WEIGHT 18750 KG ON 25 18,900.000 kgs. 55.000 cu. m.
40' HIGH CUBE PALLET FREE TIME AS PER AGREEMENT R21321090000123 HS 29400000
* INDONESIA NPWP 033193699086000
Seal Number: scmshipping@dpointernational.com

1895816
Tare Weight: 3,840kgs.
Marks and Numbers:
DICPO006059-1
FREIGHT PREPAID

Total Items: 25 Total : 18,900.000 kgs. 55.000 cu. m.

FREIGHT & CHARGES Cargo shall not be delivered unless Freight & Charges are paid (see Clause 16)
RECEIVED by the Carrier from the Shipper in apparent good order and condition unless
otherwise stated herein the total number or quantity of containers or other packages or
units indicated in box entitled “Carrier’s Receipt” for carriage subject to all the term
FREIGHT & CHARGES BASIS RATE PREPAID COLLECT
hereof from the Place of Receipt or the Port of Loading, to the Port of Discharge or
Place of Delivery, whichever is applicable. IN ACCEPTING THIS SEA WAYBILL THE
SHIPPER EXPRESSLY ACCEPTS AND AGREES TO, ON HIS OWN BEHALF AND
ON BEHALF OF THE CONSIGNEE, THE OWNER OF GOODS AND THE MERCHANT,
AND WARRANTS HE HAS AUTHORITY TO DO SO, ALL THE TERMS AND
CONDITIONS WHETHER PRINTED, STAMPED OR OTHERWISE INCORPORATED
ON THIS SIDE AND ON THE REVERSE SIDE AND TERMS AND CONDITIONS OF
THE CARRIER’S APPLICABLE TARIFF AS IF THEY WERE ALL SIGNED BY THE
SHIPPER.

Unless instructed otherwise in writing by the Shipper delivery of the Goods will be
made only to the Consignee or his authorized representatives. This Sea Waybill is not
a document of title to the Goods and delivery will made, after payment of any
outstanding Freight and changes, only on provision of proper proof of identity and of
authorization at the Port of Discharge or Place of Delivery, as appropriate, without the
need to produce or surrender a copy of this Sea Waybill.

IN WITNESS WHEREOF the Carrier, Master or their Agent has signed this Sea
Waybill.

DECLARED VALUE (Only applicable if Ad Valorem CARRIER'S RECEIPT (No. of Cntrs or Pkgs rcvd by SIGNED on behalf of the Carrier MSC Mediterranean Shipping Company S.A.
charges paid - see Clause 7.3) Carrier - see Clause 14.1) by MSC BELGIUM N.V. As Agent
XXXXXXXXXXXXXXXX 1 cntr
PLACE AND DATE OF ISSUE SHIPPED ON BOARD DATE
ANTWERP, BE M. Beerlandt
23-May-2022 21-May-2022
Sea Waybill Standard Edition - 01/2017 TERMS CONTINUED ON REVERSE =
 SURAT KETERANGAN IMPOR
KOMODITAS BAHAN OBAT DAN MAKANAN
NO. ST.03.04.35.352A.06.22.076554

Kepala Badan Pengawas Obat dan Makanan RI memberikan persetujuan kepada :

Nama Importir : PT. DPO INDONESIA

Alamat Kantor : KOMPLEKS DUTA INDAH ICONIC UNIT C41-42 JALAN M.H. THAMRIN
KEBON NANAS RT/RW 004/002. Panunggangan Utara
NPWP : 03.319.369.9-086.000
API/NIB : 8120001850294
Nama Eksportir : BENEO-Palatinit GmbH
Negara Asal Eksportir : Germany

Untuk Menerima :

Jumlah No. Negara

No Nama Bahan Baku HS. Code Produsen
Barang Lots/Bets Produsen
1 6-0-a-D-Glucopyranosyl-D- 18.750 L 29400000 BENEO-Palatinit Germany
fructofuranose monohydrate ( Kilogram 121290200 GmbH
Palatinose PST-N ) () (750 Bag)

No. & Tanggal Invoice : 1511366948 & 11-05-2022;

Melalui : Kantor Pelayanan Bea Cukai Tanjung Priok

Dengan ketentuan :

1. Barang tersebut tidak untuk diperjualbelikan secara eceran kepada konsumen tetapi hanya digunakan
sebagai Bahan Kimia.
2. Surat Keterangan Impor ini dapat diakses langsung melalui sistem INSW e-bpom.

Demikian Surat Keterangan Impor ini dibuat untuk dapat digunakan sebagaimana mestinya.

Jakarta, 13 Juni 2022

a/n. Kepala Badan Pengawas Obat dan Makanan RI
Plt. Direktur Pengawasan Keamanan, Mutu,
dan Ekspor Impor Obat, Narkotika,
Psikotropika, Prekursor,

TTD

Dra. Tri Asti Isnariani Apt, M.Pharm.

NIP. 19690414 200212 2 001

Dokumen ini sah, diterbitkan secara elektronik melalui sistem INSW e-bpom sehingga tidak memerlukan cap dan tanda tangan basah

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