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Lxponer's rr.rme. address JnC r(iirnrry Number of page
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I\,{ENGANTI GRESiK BUSINESS SURABAYA Pagel I 1
INDONESIA

EEflYEEN THE REPUBLIC CF INDSNESIA'...

z. lmporter's naine, addless, and .ountiy
SAWATOI\4I SHOJI CO.,LTD- AND JAPAN FOR AN ECONOMIC PARTNERSHIP ':1. 1

SAKAKI BLG, 2f 2.12-12. KYOBASHI,

CHUO.KU 1O4OO3I TOKYO JAPAN
TELP: (03)3275-1 188 {+81-3-?275-1'l g8)
FAX: (03)3273-1 1 60 CERTIFICATE OF ORIGIH
(+81-3-3273-1 160)
FORM UEPA
3. I\,leans of kansport and roule {as lar as known)

SHIPPEDBY : WANHAl313N238

FROM : TANJUNG PERAK

TO : HAKATA
lssued in INDONESIA
DATE {fF Sl.!lFl'.{E$l'1' : FFBRUARY 17.2A?4 Sse nole$ o'rerieaf
4. ltenr num[:er (as necessaryi: n]arks and nunrlrcrs of packages; numh*r 5. Preference 6. Quantily or weight 7. lnvoice
and kind of package, dssrriplisn cf good(s); HS tariff ciassificalion Rumber Criterion number(s) and
date{s)
I wH1U0628293/ 8BE A GW: 030/lNVilNP/lt/2024
WHLU957O8O 0B BUNDLES = 822 PCS = 15.4731 M3 10,720.000 KGM FEBRUARY 05, 2024 q.e
OF NYATOH \,VINDOW FRAI.,4E
NYATOH DECORATIVE PROFIL'
MALAPI EzE
C0UNTRY OF ORlclN: INDONESIA
HS:44092200
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8. Remarks
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flFr" ,#lI
o by th€ exporter 0.
l, undersigned. declare that ll is hereby ceilifled. on the basls of control canled Dut that the
declaration by €xporter ;s correct.
- the above details and statement are true and aacurate
Cornponent govermental authority or des,gnee otflce
- the goodis) described above meet the condition(s) requited for the
issuance of this certificate
- the country oI origin sf the good(s) described above is INDONESIA ISSUING OFFICE IN PROVINSI JAWA TIMUR
Place and date GRESIK, FEBRUARY 13,2024

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Signalure

Name (printed) ICHIYAN SJAH,SH

Place and dAIE SURABAYA, FEBRUARY{3,2024 -

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