Img 20230619 0001
Img 20230619 0001
Img 20230619 0001
ADDRESS: A YANI STRrET, KOMPLEK SUMI PATRA SRIWIJAYA NO D8..,TANGGA TAKAT, GSTIN NO OF SUPPTIERS
SEBERANG ULU 2, PALEMBANG, SOUTH SUMATERA, POSTAL CODE:30265
INoONESIA, PHONE :+628'l 273735875
Buyer(lf Other than Consignee)
Country of Origin of Goods
sR. DESCRIPTION EXP Batch No, l!{anufacturer DISTRICT STRIPS/ UNIT TOTAL
NO. DATE BOTTLE RATE
usD) (usD)
'l
MINOXYTOP 5NIG Nov 25 Tt\,,l 1260005 HEALI NG NAGPUR 2A 3.75 75.00
Dllt/N=LXBXH(CN/S)
= 1 2X1 7X7{Cl\/S)
SHIPPING
TOTAL 20 75.00
Chargeble
n SEVENTY FIVE DOLLAR ONLY
UMBER OF PACKAGES 1 :
Licence No: 2OB -233907 121 8-233908
Declaration:
Net Wt. : 0.195 KGS
WT.:0.215 kgs
i.. We intend to claim rewards under Merchandise Exports From lndia Scheme (MEIS)
*
Supply meant for export under LUT no. xxxxxxxx without payment of IGST
3. We declare that we are supplying the above shipment which is below 1 kg. net weight and it I
!r
is for free trading and free sampling purpose only. This shipment has no commercial , free trade sample, t
no involved and value for customs