1.

İhracatçı ORJİNAL
Consignor
Expéditeur
T0860910 ORIGINAL
ORIGINAL

JANTSA JANT SANAYİ VE TİCARET ANONİM ŞİRKETİ

ORGANIZE SANAYI BOLGESI 25 09630 UMURLU/AYDIN TURKEY
Turkey
MENŞE ŞAHADETNAMESİ
CERTIFICATE OF ORIGIN
2. Alıcı CERTIFICAT D’ORIGINE
Consignee
Destinataire

PT UNITED TRACTORS PANDU 3. Menşe Ülkesi

ENGINEERING,JL JABABEKA XI BLOK H 30-40, KAWASAN Country of Origin
Pays d’origine
INDUSTRI JABABEKA, CIKARANG,INDONESIA Indonesia

K
Turkey

4. Taşımaya İlişkin Bilgiler (Tercihe Bağlı) 5. Gözlemler

Transport Details (Optional) Remarks
Informations relatives au transport (mention facultative) Remarques

BY SHIP

A -
SL
6. Sıra No; kolilerin marka ve işaretleri, sayı ve türleri; eşyanın tanımı 7. Miktar
Item number; marks, numbers, number and kind of packages; description of goods Quantity
Numéro d’ordre – Marques, numéros, nombre et nature des colis – Désignation des marchandises Quantité

1 DESCRIPTION OF GOODS AND/OR SERVICES 257616 KGS

NAME OF GOODS : STEEL WHEEL 85282
QUANTITY OF GOODS :3,312 QTY
TA

ORDER NO. : 4820000951

HS NO. : 8716.90.19 COUNTRY OF ORIGIN:TURKEY
INCOTERMS CONDITION: C I F TANJUNG PRIOK PORT, JAKARTA, INDONESIA
INCOTERMS 2020 USD 579,600.00
Documentary Credit Number ILJNG03358V21 Date of Issue 210510
TAX ID: PT. UNITED TRACTORS PANDU ENGINEERING : 01.060.602.8-007.000
PT BANK NEGARA INDONESIA (PERSERO) TBK:01.001.606.1-093.000

8. Yukarıda Tanımlanan Eşyaların 3 Nolu Kutuda Belirtilen Ülke Menşeli Olduğu Tasdik Olunur.
The Undersigned Authority Certifies That The Goods Described Above Originate In The Country Shown In Box 3
L autorité soussignée certifie que les marchandises désignées ci–dessus sont originaires du pays figurant dans la case No 3

Düzenleme Yeri ve Tarihi, İsim, İmza ve Yetkili Merciinin Mührü

Place and date of issue, name, signature and stamp of competent authority
Lieu et date de délivrance, désignation, signature et cachet de l’autorité compétente