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ORIGINAL INVOICE
Doc. Date: 19/05/2022
Manuport Logistics NV
NAVF22031917 Due date: 18/06/2022
Vosseschijnstraat 59 Haven 182 (to be mentioned on all communication)
2030 Antwerpen BELGIUM
Tel: +32 3 204 95 00
Email: info@manuport-logistics.be
VAT: BE-0404.534.540
Erkend vervoerscommissionair: 0093001 PT.DPO INDONESIA
Komp.Duta Indah Iconic,Unit C41-42,JL M.H THAMRIN Kebon Nanas,
RT.004/RW.002, Panunggangan Utara
PINANG, 15143 TANGERANG, BANTEN, INDONESIE
K003525
Description
Your Ref: DICPO006136
Buyer Ref: DICPO006136
Vessel: THALASSA PATRIS Voyage: 0594-041E
Routing: Antwerpen / Jakarta
ATD: 08/05/2022 ETA: 25/06/2022
Containers: 1 x 40' Reefer HC
SEGU 957861-6
Charges
Tariff Subtotal ROE Total VAT
TERMINAL HANDLING CHARGES ORIGIN 1 CTN 310,00 EUR 310,00 EUR 1 310,00 EUR 0%
PRE-CARRIAGE 1 CTN 425,00 EUR 425,00 EUR 1 425,00 EUR 0%
ADMINISTRATION COSTS 1 FIX 50,00 EUR 50,00 EUR 1 50,00 EUR 0%
OCEAN FREIGHT 1 CTN 4.150,00 USD 4.150,00 USD 1,0878 3.815,05 EUR 0%
VAT Total VAT not incl VAT VAT amount Total VAT incl
FREE OF VAT : Art. 41,§1, 1° - 6° 4.600,05 EUR 0% 0,00 EUR 4.600,05 EUR
TOTAL INVOICE AMOUNT : 4.600,05 EUR
-Created by: Linda Van Aerde Our reference: LVANANR22-022739EXP
ABN AMRO (EUR) BE67 7194 0039 2387 ABNABE2A
ABN AMRO (USD) BE58 7194 0040 1279 ABNABE2A
All our activities are subject to the Belgian Freight Forwarding Standard Trading Conditions 2005. Subject to your rejection they will be deemed accepted. A free
copy will be sent to you at your request, or can be downloaded from our website. https://www.manuport-logistics.com/en/copyright-disclaimer
SEA WAYBILL
Tel: +86 21 3512 4888
E-Business: elines.coscoshipping.com
NON-NEGOTIABLE SEA WAYBILL FOR COMBINED TRANSPORT OR PORT TO PORT
1. Shipper Insert Name Address and Phone/Fax Booking No. Sea Waybill No.
AGRISTO N.V. 6333397560 COSU6333397560
WATERSTRAAT 40 8531 Export References
HARELBEKE BELGIUM, SHIPPER REFERENCE
TEL:+32 56735050 LVANANR22-022739EXP/COSU
FAX:+32 56735073
2. Consignee Insert Name Address and Phone/Fax Forwarding Agent and References
FMC/CHB No.
PT.DPO INDONESIA
KOMP.DUTA INDAH ICONIC,
UNIT C41-42,JL M.H THAMRIN
KEBON NANAS, RT.004/RW.002,
PANUNGGANGAN UTARA PINANG 15143* Point and Country of Origin
3. Notify Party Insert Name Address and Phone/Fax (It is agreed that no responsibility shall attach Also Notify Party-routing & Instructions
to the Carrier or his agents for failure to notify)
SAME AS CONSIGNEE *TANGERANG, BANTEN INDONESIA
TAX ID : 03.319.369.9-086.000
4. Combined Transport * Pre-Carriage by 5. Combined Transport * Place of Receipt
6. Ocean Vessel Voy. No. 7. Port of Loading Service Contract No. Doc. Form No.
THALASSA PATRIS 0594-041E
ANTWERPEN
8. Port of Discharge 9. Combined Transport * Place of Delivery Type of Movement
JAKARTA,INDONESIA FCL / FCL CY-CY
Marks & Nos. No. of Container
Description of Goods (if Dangerous Goods, See Clause 20) Gross Weight Measurement
Container / Seal No. or Packages
SEGU9578616 /250569 / 2268 CARTONS /FCL/FCL /40RQ/
2268 FOODCRAFT FRENCH FRIES 24146.724KGS
CARTONS SHOESTRING 7X7MM 10X1.0KG
HS CODE: 20041010
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OCEAN FREIGHT PREPAID
ON CY-CY TERM
SHIPPER'S LOAD STOW COUNT AND SEAL
GOODS TO BE CARRIED AT -20 DEGREES CELSIUS SET BY SHIPPER
"SEA WAYBILL HAD BEEN ISSUED FOR THIS SHIPMENT."
PLEASE RELEASE THE SHIPMENT WITHOUT ORIGINAL
BILL OF LADING.
---------------------------------------------------------------------------------------------
Declared Cargo Value US$ Description of Contents for Shipper's Use Only (Not part of This Sea Waybill Contract)
10. Total Number of Containers and/or Packages (in words)
Subject to Clause 7 Limitation SAY ONE CONTAINER TOTAL
11. Freight & Charges Revenue Tons Rate Per Amount Prepaid Collect Freight & Charges Payable at / by
Received in external apparent good order and condition except as otherwise noted. The total number of the packages or units
stuffed in the container, the description of the goods and the weights shown in this Sea Waybill are furnished by the Date Laden on Board 8 MAY 2022
merchants, and which the carrier has no reasonable means of checking and is not a part of this Sea Waybill contract. The
Signed by:
carrier has issued 1 Sea Waybill. The merchants agree to be bound by the terms and conditions of this Sea Waybill as
if each had personally signed this Sea Waybill.
COSCO SHIPPING LINES (BELGIUM)
*Applicable Only When Document Used as a Combined Transport Sea Waybill.
Demurrage and Detention shall be charged according to the tariff published on the Home page of http://lines.coscoshipping. NV
com. If any ambiguity or query, please search by Demurrage & Detention Tariff Enquiry. The complete TERMS AND CONDITIONS
appearing on the reverse side of this Bill of Lading are available at http://lines.coscoshipping.com, which also provides
other services and more detailed information.
, AS AGENT
9805 Date of Issue 8 MAY 2022 Place of Issue ANTWERP Signed for the Carrier, COSCO SHIPPING LINES CO.,LTD.
SURAT KETERANGAN IMPOR
KOMODITAS OBAT DAN MAKANAN
NO. ST.06.04.53.533A.06.22.209999
Kepala Badan Pengawas Obat dan Makanan RI memberikan persetujuan kepada :
Nama Importir : PT. DPO INDONESIA
Alamat Kantor : KOMPLEKS DUTA INDAH ICONIC UNIT C41-42 JALAN M.H. THAMRIN
KEBON NANAS RT/RW 004/002. Panunggangan Utara
NPWP : 03.319.369.9-086.000
API/NIB : 8120001850294
Nama Eksportir : Agristo N.V
Negara Asal Eksportir : Belgium
Untuk Menerima :
Jumlah No.
No Nama Produk Kemasan No. Izin Edar HS Code
Barang Lots/Bets
1 Foodcraft - Kentang Irisan Beku 2.268 ML 22.680 22093; 20041000
(Shoestring Fries) (Plastik LDPE (1 Carton 219031003655 Kilogram 22113;
Kg, 2.5 Kg)) (KENTANG BEKU) 22114
Produsen : AGRISTO WIELSBEKE
Negara Produsen : Belgium
No. & Tanggal Invoice : 90468330 & 05-05-2022;
Melalui : Kantor Pelayanan Bea Cukai Tanjung Priok
Dengan ketentuan :
1. Produk tersebut di atas harus memenuhi ketentuan perundang-undangan di bidang
Obat dan Makanan.
2. Surat Keterangan Impor ini dapat diakses langsung melalui sistem INSW e-bpom.
Demikian Surat Keterangan Impor ini dibuat untuk dapat digunakan sebagaimana mestinya.
Jakarta, 13 Juni 2022
a/n. Kepala Badan Pengawas Obat dan Makanan RI
Direktur Pengawasan Peredaran Pangan
Olahan
TTD
Dra. Ratna Irawati, Apt, M.Kes
NIP. 19630525 199103 2 001
Dokumen ini sah, diterbitkan secara elektronik melalui sistem INSW e-bpom sehingga tidak memerlukan cap dan tanda tangan basah
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