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Bawang Buleleng Bali Declaration en Douane: Passport-PE2121621

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PT POS INDONESIA (Persero) CUSTOMS DECLARATION CN 23

From Name : ZHAO ZHISHUO Sender customs reference No. of item (barcode, if any) | Maybe opened officially
De Passport-PE2121621
Address : PT GENERAL ENERGY BALI DESA CELUKAN
DECLARATION EN DOUANE
BAWANG BULELENG BALI
Address (count) No. of item (barcode, if any) | Maybe opened officially
Postcode : 81155 City : KAB. BULELENG
State BALI Country : ID-INDONESIA Declaration ID
To Name : GAN LU C D S 0 1 2 2 7 5 4 4 1 7
A
Address : FLOOR 35 YISHAN BUSINESS CENTER NO 100 LUJIANG ROAD SIMING Importer's references (if any) {tax code/VAT No./importer code) (optional)
DISTRICT XIAMEN CITY
Address (count)
Postcode 361111 City XIAMEN 176634 Importer's telephone/fax/email (if known)
State CHINA Country CN-CHINA 8618060961606 GANLU@CDB.CN

Net weight (3) For commersial item only


Detailed description of contents (1) Quantity (2) Total weight (4) Value (5) Total Value (6)
(in kg) HS tarif number (7) Country of origin of goods (8)
1 DOCUMENT 1 0,3 0,3 10.00 USD 10 USD 490199
Category of item (10) Sales of goods Commercial sample Office origin/Date of posting
Gift Returned Goods Other
13/01/2022 08:37
X Documents Mixed content
Comments (11) : (e.g goods subject to quarantine, sanitary/phytosanitary inspection or other restriction) I certify that the particulars given in this custom
declaration are correct and that this item does not
contain any dangerous article or articles prohibited by
legisation or by postal or customs regulations
Licence (12) Certificate (13) Invoice (14) Date and sender's signature (15)
No(s). of licence(s) No(s). of certificate(s) No(s). of invoice 13/01/2022 08:37

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