Proforma Invoice

AWB No: 3402192463 Invoice Date: 2024-02-19 Invoice No:

SHIP FROM: SHIP TO:

Agrikultural Nusantara Perkasa King Car Industrial Co.,Ltd
Bayu Tony Chen
Jl. Bina Putra 27 FORMOSA ZONE, NHON TRACH 3 INDUSTRIAL PARK,
House of Complex Bumi Citereup Permai Cimahi HIEP PHUOC COMMUNE, NHON TRACH DISTRICT,
West Java, 40512, Cimahi, Indonesia DONG NAI PROVINCE, VIET NAM
CIMAHI, 40511 DONG NAI, DONG NAI

Indonesia Vietnam
+6282118882505 +8402513560028
bayu@westjavatea.com phongketoankingcar@gmail.com
Trader Type:PRIVATE Trader Type:PRIVATE
VAT No: VAT No:
EORI: EORI:
TAX ID:

Shipper Reference:
Receiver Reference:

Remarks:

C o m m o - Tax Item Weight/ Sub Total

Item Description Item Total
COO Reference Type & QTY Unit
dity Code Paid Weight ID Value Value

1 Tea leaf Length: 27 Cm Width: 21 Cm 0.600 kg INDONESIA 1 GM 10.00 IDR 10.00 IDR
Height: 15 Cm 0.600 kg

Total Goods Value: 10.00 IDR Total line items: 1

Total Invoice Amount: 10.00 IDR Number of Pallets:
Currency Code: IDR Total units: 1.0
Terms of Payment: Package Marks / Other Info:
Terms of Trade: Delivered at Place
Place of Incoterm:
Reason for Export: Sample
Type of Export: Sample
Total Net Weight: 0.600kg Payer of GST / VAT:
Total Gross Weight: 0.600kg Duty / taxes acct: Receiver Will Pay
Requiere Pedimento: No
Duty / tax billing service:
Carrier: DHL
Ultimate Consignee:
Exemption Citation:

I/We hereby certify that the information contained in the invoice is true and correct and that the contents of this shipment are as stated above.

Name: Bayu Signature: Company Stamp

Position:
Date of Signature: 2024-02-19
Page 1 of 1