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:-:a:Jag-Uoyd Aktiengesellschaft, Hamburg I 0 f La d"mg

B"ll Multi modal Transport or Port to Port Shipment

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UD TUNAS SUBUR
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- LOR OK KM. 27
JL RAYA PAC IT AN Hapag-Lioyd
DESA BUNGUR KEC. TULAKAN
KAB. PACITAN Page:
0
PROVINSI JAWA TIMUR - INDONESIA ca4eo5Rioe6ca'6 1
e'H:'LcuJK 119 o54 6 1 54 2 I 2
0 Export References:
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0 Consignee (not nego!Jable unless consigned to order):

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SULTAN BIN AHMED CONTRACTING &
TRADING co.
~
P.O. BOX - 9461 DOHA QATAR Forwarding Agent:
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.0 TEL : 00974 44600359
E FAX : 00974 44603779
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Notify Address (Carrier not responsible for failure to notify; see clause 20 (1) hereof): Consignee's Reference:
0 SAME AS CONSIGNEE
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Place of Receipt:
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v~ Voyage-No.:
K AY GALAXY 459 Place of Delivery:

Port of loa~
SEMA G, INDONESIA .
~ P~a;ge: QATAR

IContainer Nos., Seal Nos.; Marks and Nos. .I Gross Weight: IMeasurement:
INumber and Kind of Packages, Description of Goods
1 CONT. 40 1 X9 1 6 11 HIGH CUBE CONT. SLAC*
TGBU 6171829 19 PALLETS 25194.000 59.547
SEAL: = 4810 PCS = 59.5479 CBM KGS M3
HLB6698573 OF INDONESIAN ALLFALCATA PLYWOOD 24814.000
GRADE BB/CC NET KGS

*SLAC = Shipper•s Load, Stow, Weight and Count

rJI!:~~ "· :.
SHIPPED ON BOARD, DATE 01.JUN.2019
PORT OF LOADING: SEMARANG, INDONESIA (as
VESSEL NAME: KANWAY GALAXY VOYAGE: 459 ?"' SA G

FREIGHT PREPAID

IShipper's declared Value [see clause 7(2) and 7(3)] Above Particulars as declared by Shipper. Without responsibility ORIGINAL
ITotal No. of Containers received by the Carri~[' Packages received by the Carrier: or warranty as to correctness by Carrier [see clause 11]
RECEIVED by the Carrier from the Shipper in apparent good order and condition (unless otherwise noted hereto) the total
number or quantity of Containers or other packages or units indicated in the box opposite entitled "Total No. d
Containers/Packages received by the Garner· for carriage subject to all the terms and conditions hereof ONCl..lJ()IN3
Movement: Currency: THE TERMS AND CONDITIONS ON THE REVERSE HEREOF AND THE TERMS AND CONDmONS OF THE CARRHI'S
FCL/FCL APPUCABLE TARIFF) from the Place of Receipt or the Port of Loading, whichever is applicable, to the Port of Oischcwge
or the Place of Delivery, whichever is applicable. One original Bill of Lading, duty endorsed, must be surrendered by the

Charge IRate IBasis IWtNoiNal IP/C IAmount

Merchant to the Carrier in exchange for the Goods or a delivery order. In accepting this Bill of Lading the Merchant
expressly accepts and agrees to all its terms and conditions whether printed, stamped or written, or otherwise
incorporated, notwithstanding the non-signing of this Bill of Lading by the Merchant.
IN WITNESS WHEREOF the number of original Bills of Lading stated below all of this tenor and date has been signed. one
0
::;: . of which being accomplished the others to stand void.

~~e: 01.JUN.2019

5!remat: ~u7'jr of originalBs/L:

1 rv~ Aovvc NAIVII:U ""'~r>~c~

Total Freight Prepaid ITotal Freight Collect ITotal Freight . PT.SAMUDERA INDONESIA TBK(AS AGENT)
HAPAG-LLOY G CYDIV
 Original

1~1111~11111111111111111111 ~
86324463343

1. Goods consigned from (Export's business name, address. country) .

UD TUNAS SUBUR
Jl. RAYA PACITAN-LOROK KM 27,
DESA BUNGUR KEC.TULAKAN
KAB.PACITAN
PROVINSI JAWA TIMUR · INDONESIA

2. Goods consigned to (Consignee's name, address. country). MINISTRY OF TRADE

OF THE REPUBLIC OF INDONESIA
SULTAB BIN AHMED CONTRACTING & TRADING CO. CERTIFICATE OF ORIGIN
P.OBOX - 9461 DOHA QATAR
TEL : 00974 44600359
FAX • 00974 44603779
FORMB
Reference No. 0052481/SMR/2019
3. Means of transport and route (as far as known) . 4. For official use.

Shipped by KANWAY GALAXY 459

F r om SEMARANG , INDONESIA

To HAMAD, QATAR

Date of shipment : JUNE 1, 2019

S. ltem 6. Marks and 7. Number and kind of packages; description of 8. Gross we1ght or 9. Number and
num· numbers of goods. other quantity date of invoices
ber. packages

TGBU6171829 / 40'HQ 19 PALLETS = 4810 PIECES= 59.5479 CBM OF INDONESIAN All GW : 024/TS-INVN/2019
I HLB6698573 FALCATA PlYWOOD GRADE BB/CC 25,194.00 KGM MAY 22, 2019
NW :
ZZZZZllZZZll.ZllZZZZ.llZZZZ.ZZllZ 24,814.00 KGM

10. Certification.

It is hereby certified, on the basis of control carried out, that the goods stated above were produced in Indonesia.

11 .Competent authority (name, full address).

ISSUING OFFICE IN PROVINSI JAWA TENGAH

JL. PAHLAWAN NO.4 SEMARANG 50241, JAWA
TENGAH
m I II] lltllllllllm ~1 1111 111 111~11111 1 111 11 1111 1111 1 ~111111 111 No .: 03~5061
REPUBLIC OF INDONESIA
MINISTRY OF AGRICULTURE
AGENCY FOR AGRICULTURAL QUARANTINE

PHYTOSANITARY CERTIFICATE
No: 2019.2.1401 .0.K10.E.004364

TO : PLANT PROTECTION/QUARANTINE ORGANIZATION

OF QATAR .... .. .......................... ... ............... .

I. DESCRIPTION OF CONSIGNMENT

Name and address of exporter: .UD,TUNA.S. . S.ui~UR ...... .... ....... ...................... .. ...... ...... .. . .... ..................... .. ..................... .
JI...RAYAPACITAN.~LO.ROK .KM.27. RI.002 . RW.001 . DUS.UN . KRA.J.AN.O.ESA.a.UN.G.UR .K!;,CAMATAN.TU.LAKA.N .. .. .
KABUPATEN PACITAN
Declared name and address of consignee: .SU.LIAN.61.N.AHMEO..CON.TRAC.TlNG.&.TRAO.I.NG C.O• ......... ...... ... ......
P..o. a.o.x~~4~.1 . DO.HA. QATAR.TEI... ,:..0.0.9.7.4..4.4.600~5.9 .F.AX . ; . OQS.74 . 4460377S. .................... ...... ... ................ ........ .... .. .
Number and description of packages r .1.9.PA.LLET.S .::.4,810 .P.JECES.:= 59.5479.MT.Q.OF.CO.MMERCIALP.LYW.OOD.. ..
!NP.ON!;:S.IA.G.W..:..~.~.t!;l.4.-.0.0..~G.M . N.W . ; . ~4.~~. 4.QQ . KGM.......... .... .... ... ..... ..... .... ... ................. ... .. .............. ........................ .
Distinguishing marks: .N/M................ .... ..... .... ................. .. ..... ..... .. ... ....... ..... ............................. ... .. .............................. ....... .

Place of origin: JNO.ONES.I.A .... .... .. .. ..... ......... ..... .. .... .......... - .... ................ ._ ........................ ...... ...... .. ...................... ........... 0 ..

Declared means of conveyance : .KAN.WAY .G.AI..AX.Y ..459. ...... ~ .. AI ... .. .. ..... .... .. .... ........................................................ 0 ... ..

Declared point of entry : .. HAMAD•.QATAR .... . ..... ....,. .... •._ .. ;......... .. ........... .. .. .. .. .. .................................................. 0

Name of produce and quantity declared: :t9.P.ALLEIS..OF..COMMERCJAL.PLYWO.OD .INDONESIA .G.W.: 25,194.00.. 0 ..

KG.J'.I .NW. .:..~.4.•~.14.-.0.0. .~GM ...... .. ... .. . . . .. ........... ...... .n. .,..':.... ... ., ..... ... .......................................................................... ..
······•··•··•·· · ····•··•·•••·•·•·•· ... ,.,,,,,,,,,,,,,,,,,,,,,, ••........•......• ··
.
'/ ' ') ''''' '~- ' r·• , •. .,. . . . ··· ·•· r··· · ·····•·············•·······················•· •·•·•····· · ·········
Botanical name of plants : .Unknow.o; ........................ .,., .............. , ,.... 0 .. .. .. ,,. .. ...... .. .. ............ ...... o ........................... o .. o .. 0 .. ..

........................................P4.T.F;. Of.JN.$P.~G.Tl9N ..;..MAY.. - ~~... ~Pot$! .. 0 ................. . . . . . . . . . . . . . . . . . . 0 •• 0 ••••• 0 .............. ................. .

This is to certify that the plants or plant products or other regulated articles described herein have been inspected and/or
tested according to appropriate official procedures and are considered to be free from the quarantine pests specified
by the importing contracting party and to conform with the current phytosanitary requ irements of the importing
contracting party, including those for regulated non-quarantine pests .
They are deemed to be practically free from other pests*)

II. ADDITIONAL DECLARATION

::::::.NON.!;.:::::: .......................................... . ...... .................. .. .. .. .. ................. ....... ... ... .............. ......... ..... ....... ......... .............
·· ···· ····· ······································ ···· ···· ······· ······················ ···· ················· ·· ·· ········ ········ ············ .. ........... ... ...,.. ......... ,..

Ill. DISINFESTATION AND/OR DISINFECTION TREATMENT

Date . .=.=.:: . N.C>l\1~ . :=:::=::.=:=......... .... ... ... .. ........... ....................... Treatment. :=::.=:=.=:=.NON~ . :::::=:: ..... ... ... .. ....... ...... ..... ....................... .
Chemical. :=: :=: :=: .N.OIII.E. .=.=.:: ... ........ ......... . ......... .. .. .. ....... Duration and temperature. :=: :=: .=:=.NO!':I.E..:::::: ...................... .... .... .
Concentration ..=.:::: .111.9NE;.::.=:=.=:=....................... .... ...... ... ...... ... ......................................... .............. ....... .... ... ... ..... ........... .... .
Add itional Information . :=::::.=:=. N0!'-:1.~.:::::=:: . ........... ................ ............ ............................ .... .... .............. ............. ..

Place of issue: .S.~mar.~.ng .......... 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .... .... .

Name of authorized officer: A.OII..I..A .S.USJ..WA.HO.N.O •. S.P. .. .

Date: .JUNE..1.1...2 .1. ............. ..

of Indonesia or to any of its officers or

No. Seri: A 05798 ARJUNA
SECURITAS
ABADI

ISPM # 15 CERTIFICATE
TREATMENT:HEATTREATMENT(HT)
ID No. 008
Consignment 1 X 40'HC SAID TO CONTAIN:
= =
19 PALLETS 4810 PCS 59.5479 CBM OF
INDONESIAN .Al.l.FALCATA PL"YWOOD GRADE BB/CC
Shipper : UD. TUNAS SUBUR
JL RAYA PACITAN - LOROK KM. 27
DESA BUNGUR KEC. TULAKAN
KAB. PACITAN
PROVINSI JAWA TIMUR- INDONESIA

Consignee : SULTAN BIN AHMED CONTRACTING & TRADING CO.

P.O. BOX- 9461 DOHA QATAR
TEL : 00974 44600359
FAX : 00974 44603779

Notify Party : SAME AS CONSIGNEE

Vessel : KANWAY GALAXY 459
Container and Seal Number : TGBU 6171829/ HLB6698573
Port of Loading : SEMARANG, INDONESIA
Port of Destination : HAMAD QATAR
THIS IS TO CERTIFY THAT THE WOOD PACKAGING ON THE ABOVE CONSIGNMENT HAS BEEN
TREATED IN ACCORDANCE WITH ISPM#15 ANNEX I :
TYPE OF WOOD PACKAGING : WOODEN PALLETS
QUANTITY : 19 PALLETS
TREATMENT : HEAT TREATMENT (HT)
DESCRIPTION OF TREATMENT : WOOD CORE TEMPERATURE : 55oc
EXPOSURE TIME :30 MINUTES

ID- 008
HT- DB

THIS CERTIACATE REFERS ISPM# 15 HEAT TREATMENT ONLY AND DOES NOT CERTIFY
mY OTHER MATTERS.

SOLO, June 13, 2019 AUTORIZED SIGNATURE

111/ ASA- SL IV /2019 CV. ARJUNA SECURITAS ABADI

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