CERTIFICATE OF ORIGIN
Exporter Pages
PT Rezeki Sari Bumi 1 of 1
Boston Barat 3/31
Tangerang Regency, Banten, 15334
Export Invoice Number & Date Letter Of Credit No
Edho Victorianto 31 Oct 2023
Consignee Buyer (If not Consignee)
GW FOODS CO LTD
HYUNDAE VISION 21 #725, 467-19
DOGOK-DONG GANGNAM-GU, SEOUL,
Park Monjai
Method of Dispatch Type of Shipment
Vessel / Aircraft Voyage No
CSCL LIMA
Port of Loading Date of Departure
25 Nov 2023
Port of Discharge Final Destination
Incheon
Marks & Numbers Kind & No of Description of Goods Tariff Code Gross Weight
Packages (Kg)
COCONUT FIBRE COCONUT FIBRE 11,120.00
Declaration By The Chamber Declaration By The Exporter
The undersigned certifies on the basis of information provided by the I, the undersigned, being duly authorized by the Consignor, and having
exporter that to the best of it’s knowledge and belief, the goods are of made the necessary enquiries hereby certify that based on the rules of
designated origin, production or manufacture. origin of the country of destination, all the goods listed originate in the
country and place of designated. I further declare that I will furnish to
the Customs authorities of the importing or their nominee, for
inspection at any time, such as evidence as may be required for the
purpose of verifying this certificate.
The goods were produced/manufactured at
Place and Date of Issue Place and Date of Issue
Signatory Company Signatory Company
PT Rezeki Sari Bumi
Name of Authorized Signatory Name of Authorized Signatory
Edho Victorianto
Signature Signature