Bukti Pembayaran Dan Pengiriman Oleh PT Jepang Fix

[20 July 2018] BILL OF LADING-EVERGREEN LINES Page 1 of 2
SHIP FROM Bill of Lading Number:
Name : Onitsuka Tiger OMOTESANDO NIPPON

Street Address : Minatokashii No 5, 2 Chome, Fukuoka, Japan
City, ST ZIP Code : FUKUOKA, JP 20189
SID No.: #907816
SHIP TO Carrier Name: EVERGREEN FREIGHT LINES
Name : PT. Cahya Setya Atmaja Trailer number:
Street Address : Tanjung Perak Road, Pabean, Surabaya, Indonesia Serial number(s):
City, ST ZIP Code : SURABAYA, IND 509032
CID No.: #746002
THIRD PARTY FREIGHT CHARGES BILL TO SCAC:
Name : - Pro Number:
Street Address : -
City, ST ZIP Code :-
Special Instructions: Freight Charge Terms (Freight charges are prepaid unless marked otherwise):
Prepaid  Collect  3rd Party 
 Master bill of lading with attached underlying bills of lading.
CUSTOMER ORDER INFORMATION

Pallet/Slip
Customer Order No. # of Packages Weight Additional Shipper Information
(circle one)
9782735702 2500 100 Y N DC6048
Y N
Y N
Y N
Grand Total
CARRIER INFORMATION
Handling Unit Package LTL Only

Qty Type Qty Type Weight HM (X) Commodity Description NMFC No. Class
Commodities requiring special or additional care or attention in handling or stowing must
be so marked and packaged as to ensure safe transportation with ordinary care. See
Section 2(e) of NMFC item 360
2 PLT 200 CTN 11000
2 200 1100
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or COD Amount: $ 5.00 ______________________
declared value of the property as follows: “The agreed or declared value of the property is specifically stated
by the shipper to be not exceeding _______________ per _______________. Fee terms: Collect  Prepaid  Customer check acceptable 
Note: Liability limitation for loss or damage in this shipment may be applicable. See 49 USC § 14706(c)(1)(A) and (B).
Received, subject to individually determined rates or contracts that have been agreed The carrier shall not make delivery of this shipment without payment of charges and
upon in writing between the carrier and shipper, if applicable, otherwise to the rates,
classifications, and rules that have been established by the carrier and are available to all other lawful fees.
the shipper, on request, and to all applicable state and federal regulations. Shipper Signature 20 July 2018 ______________________________________
Shipper Signature/Date Trailer Loaded: Freight Counted: Carrier Signature/Pickup Date

 By shipper  By shipper
20 July 2018 ________________________  By driver  By driver/pallets said to contain 3 August 2018 ______________________
This is to certify that the above named materials are properly Carrier acknowledges receipt of packages and required
classified, packaged, marked, and labeled, and are in proper  By driver/pieces placards. Carrier certifies emergency response information
condition for transportation according to the applicable was made available and/or carrier has the DOT emergency
regulations of the DOT. response guidebook or equivalent documentation in the
vehicle. Property described above is received in good order,
except as noted.
Letter of Credit
Bank Negara Indonesia
Bank Negara Indonesia

Bank of Japan
IRREVOCABLE STANDBY LETTER OF CREDIT # USD 82 MILION

PROJECT/DEVELOPMENT: Electronic Road Pricing Delivery
LOCATION: FUKUOKA JAPAN
PLACE AND DATE OF ISSUE

Address : 814-0122 Fukuoka, Jonan Ward, Yusentei
City, State, : Fukuoka, Japan
Zip : 609876
Month/Day/Year: March, 29, 2018
EXPIRATION DATE/PLACE
March/29/2020 (2 years from issue date) at City Hall, Planning and Development Dept.
APPLICANT: BENEFICIARY:
PT. Cahya Satya Atmaja CITY OF FUKUOKA
Hayam Wuruk Road, No. 154, MINATOKOSHI NO 5
Denpasar, Bali, Indonesia 2-CHOME, JAPAN
80151, Denpasar, Indonesia 20189
SUBJECT: Electronic Road Pricing.
CREDIT AMOUNT: $ 82.000.000

Amount Written Out (eighty two million dollars)
We hereby establish our irrevocable standby letter of credit no. #59779739 in your favor for the account of
Onitsuka Tiger OMOTESANDO NIPPON up to the aggregate amount of USD $ 82.000.000(eighty two million dollars).
This letter of credit is available for payment against presentation of Beneficiary’s drafts at sight drawn on Bank
Negara Indonesia, Bank of Japan, bearing the clause “Drawn Under Bank Negara Indonesia, Credit No. 59779739”,
accompanied by the following documents:
Beneficiary’s signed statement reading:
City of Fukuoka, Minatokoshi, No 5, 2-Chome, Japan certifies that PT Cahya Satya Atmaja has succesed to
complete the required improvements for the Electonic Road Pricing delivery project/development.
We hereby engage with you that the drafts drawn under, and in compliance with the terms of the credit, will be
duly honored on presentation to us, on or before the expiration date.
In the event of a draw under this letter of credit, the Beneficiary is required to present the original letter of credit,
including any amendments issued after the date of origin, and all other documents required by the crediting institution.
Issuing Bank and Authorized Signature

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[20 July 2018] BILL OF LADING-EVERGREEN LINES Page 1 of 2

SHIP FROM Bill of Lading Number:

Name : Onitsuka Tiger OMOTESANDO NIPPON

 Master bill of lading with attached underlying bills of lading.

CUSTOMER ORDER INFORMATION

Handling Unit Package LTL Only

2 PLT 200 CTN 11000

Shipper Signature/Date Trailer Loaded: Freight Counted: Carrier Signature/Pickup Date

Bank Negara Indonesia

Bank Negara Indonesia

IRREVOCABLE STANDBY LETTER OF CREDIT # USD 82 MILION

PLACE AND DATE OF ISSUE

SUBJECT: Electronic Road Pricing.

CREDIT AMOUNT: $ 82.000.000

Beneficiary’s signed statement reading:

Issuing Bank and Authorized Signature

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