20.01687 00031.003 Id KR PDF

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A.

REPUBLIC
KOREA
OF B.

1 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
Country of destination and ISO Code REPUBLIC OF KOREA - KR
Authority registration number LVLK-003-IDN Port of loading MAKASSAR
Port of discharge INCHEON

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020
ORIGINAL

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
1 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020


A. REPUBLIC
KOREA
OF B.

2 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
Country of destination and ISO Code REPUBLIC OF KOREA - KR
COPY FOR THE CUSTOMS AT DESTINATION

Authority registration number LVLK-003-IDN Port of loading MAKASSAR


Port of discharge INCHEON

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
2 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020


A. REPUBLIC
KOREA
OF B.

3 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
Country of destination and ISO Code REPUBLIC OF KOREA - KR
Authority registration number LVLK-003-IDN Port of loading MAKASSAR
Port of discharge INCHEON
COPY FOR THE IMPORTER

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
3 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020


A. REPUBLIC
KOREA
OF B.

4 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
Country of destination and ISO Code REPUBLIC OF KOREA - KR
Authority registration number LVLK-003-IDN
COPY FOR THE LICENSING AUTHORITY

Port of loading MAKASSAR


Port of discharge INCHEON
Value (USD) 38,505.63

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
4 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020


A. REPUBLIC
KOREA
OF B.

5 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
Country of destination and ISO Code REPUBLIC OF KOREA - KR
Authority registration number LVLK-003-IDN Port of loading MAKASSAR
Port of discharge INCHEON
Value (USD) 38,505.63
COPY FOR THE LICENSEE

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
5 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020


A. REPUBLIC
KOREA
OF B.

6 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
COPY FOR THE LICENCE INFORMATION UNIT

Country of destination and ISO Code REPUBLIC OF KOREA - KR


Authority registration number LVLK-003-IDN Port of loading MAKASSAR
Port of discharge INCHEON
Value (USD) 38,505.63

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
6 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020


A. REPUBLIC
KOREA
OF B.

7 1 Issuing authority
Name PT. MUTUAGUNG LESTARI
2 Importer
Name SAMKO TRADING PTE LTD
Address 7500A BEACH ROAD, THE PLAZA 08-305/307 199591,
Address SINGAPORE
JL. RAYA BOGOR KM 33.5 NO. 19
CIMANGGIS, DEPOK 16953
JAWA BARAT
Country of destination and ISO Code REPUBLIC OF KOREA - KR
Authority registration number LVLK-003-IDN Port of loading MAKASSAR
Port of discharge INCHEON
COPY FOR INDONESIAN CUSTOMS

Value (USD) 38,505.63

3 V-Legal/licence number 4 Date of Expiry

20.01687-00031.003-ID-KR 02 06 2020

5 Country of export 7 Means of transport

INDONESIA BY SEA

6 ISO Code
ID

8 Licensee
Name PT.SUMBER GRAHA SEJAHTERA CABANG LUWU
(BAROWA) ETPIK Number N/A

Address KANTOR : SAMPOERNA STRATEGIC SQUARE NORTH Tax Payer Number 02.015.626.1-415.000
TOWER LT. 20-21, JL. JENDERAL SUDIRMAN KAV. 45-46,
KODYA JAKARTA SELATAN, PROP. DKI JAKARTA UNIT
LUWU : JL. ANDI MARADANG, DS. BAROWA, KEC. BUO,
KAB. LUWU, PROP. SULAWESI SELATAN UNIT TORAJA :
9 Commercial description
LINGKUNGAN of the
KARANG
timber products 10 HS-Heading
INDONESIAN PLYWOOD -------------------------------------------------------------------------------------------------------------------------- 4412.31.00. ------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
7 -------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------
----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------

11 Common and Scientific Names 12 Country of harvest 13 ISO Codes


Matoa (Pometia sp.) INDONESIA ------------------------------------ ID -------------------
-------------------------------------------------------------------------------------------- ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------- -----------------------
------------------------------------------------------------------------------------------------------------------------
14 Volume (m3) 15 Net Weight (kg) 16 Number of units
75.3480 ----------------------------------------------------- 41,524.00 --------------------------------------------------- 32 -------------------------------------------------------
----------------------------------------------------------------- ---------------------------------------------------------------- ------------------------------------------------------------

17 Distinguishing marks
INVOICE: 8400005997 ISSUED 3 FEBRUARY 2020
DESA BAROWA, KECAMATAN BUA KABUPATEN LUWU, SULAWESI SELATAN
13320636137

18 Signature and stamp of issuing authority

Name BAMBANG GUNARDJITO

Place and date DEPOK, 3 FEBRUARY 2020

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