ITB21D269482369755

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SURVEYOR'S REPORT Report No : ITB21D269482369755

LAPORAN SURVEYOR Date : November 9, 2023

IMPORTER / Importir : PT KAMTAN MALINO AJI


ADDRESS / Alamat : JL. MOCH ALI NOMOR 76, DESA/KELURAHAN SUKAMAJU, KEC. CILODONG
IDENTIFICATION No. / NIB : 0606220042392
DATE OF ISSUE / : September 13, 2023
Tanggal Terbit NIB
EXPORTER / Eksportir : Yingkou Zeda Technology Co., Ltd
ADDRESS / Alamat : 107A,West QingHua Street, XiShi District, YingKou District, China (Liaoning) Pilot Frrr
Trade Zone, YingKou, China
OBJECT / Objek : USED TOWER CRANE
PLACE OF INSPECTION : No. 56 Yangguang Avenue, Changshiu City, Suzhou City
Tempat Pemeriksaan
DATE OF INSPECTION : October 16, 2023
Tanggal Pemeriksaan
COUNTRY OF LOADING : China
Negara Muat
PORT OF DISCHARGE : Tanjung Priok (IDTPP)
Pelabuhan Tujuan
SERVICES REQUIRED : Decree of Minister of Trade of Republic of Indonesia No. 20 Tahun 2021 Jo No. 25
Lingkup Jasa Tahun 2022 dated May 9, 2022

REFERENCES : 1 Letter of Director General of Foreign Trade of the Ministry of Trade No.
Referensi 04.PI-02.23.2253 dated October 4, 2023 valid until October 2, 2024
2 Invoice No. PI2310004 dated October 5, 2023

EXPIRED DATE OF REPORT : October 2, 2024


Batas Waktu Berlaku Laporan
We hereby state that this report is true to the best our professional knowledge and conduct, with the following conclusion :
The good(s) described in the attachment were found comply with the above regulation and the good(s) are in reasonable
condition to be used and/or to be reconditioned, not scrap.
The attachment(s) available is the integral part of this report.

This Report is issued under our General Term and Conditions, copy of which is available upon request or many be accessed at
avs.anindya.biz.
Jakarta, November 9, 2023
Acknowledged by Management

Ardi Poeloengan
VO No. : CN11HD2694.P3
Report No. : ITB21D269482369755
Date : November 9, 2023

GENERAL DATA / Data Umum

No Description of Goods Quantity Value/Nilai


Uraian Barang Jumlah (as per document)

1 HS. No. 8426.20.00 1 NIU 75.000,00 USD


USED TOWER CRANE
Brand / Manufacturer : ZOOMLION
Model / Type : TC7525
Country of Made : China
Year of Manufacture : 2016
Serial No. : 1012TC01601076

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