PT.

COMSINDO

Report No. : 3151

REPORT
OF
STUFFING SUPERVISON

MEDU 6375603 / FJ 03262559 / 20’

At GODOWN OF
PT. GEMILANG JAYA MAKMUR ABADI
Jl. Raya Mondoroko No. 135 Singosari - Malang
East Java - Indonesia

Date of survey : October 11, 2018

Page : 1/2

REPORT OF INSPECTION
NO. : 3151-A

THIS IS TO CERTIFY that we the undersigned surveyor of PT. COMSINDO, has been attended and inspected
the under mentioned consignment on October 11, 2018 at Godown of PT. GEMILANG JAYA MAKMUR
ABADI, JL. Raya Mondoroko No. 135 Pagentan Singosari, Kab. Malang - Indonesia to conduct a
SUPERVISION OF STUFFING and following is our report :

I. PARTICULARS OF CARGO :

Consignment : 320 BAGS (19.2 MT) OF INDONESIA FLORES AP – BC QUALITY

ROBUSTA COFFEE
Seal Number : FJ 03262559
GROSS WEIGHT = 19,520 Kgs
NETT WEIGHT = 19,200 Kgs
Shipper : PT. GEMILANG JAYA MAKMUR ABADI
JL. RAYA MONDOROKO NO. 135 PAGENTAN SINGOSARI,
KAB. MALANG - INDONESIA
Container/Seal No. :
MEDU 6375603 / FJ 03262559 / 20’
Consignee : TO ORDER
Notify Party : BEST COFFEE S.R.L.
VIA MICHELE SPADARO, 19
74121 TARANTO PUGLIA, ITALY
EMAIL : info@bestcoffee.it
Vessel : MSC GIANNA HC841R
Destination : GENOA, ITALY
Marks & Numbers :
FLORES ROBUSTA AP
BEST COFFEE QUALITY
015/1694/05
PROD OF INDONESIA
BEST COFFEE S.R.L.
12653 / 183818s
1 - 320

Type of Packing : in single gunny bags

I. INSPECTION :
Condition of Containers : - Interior : Dry, Clean, Sound, Free From nuisance odour
and Fit condition to receive the shipment of cargoes
1 (One) container(s) to the above mentioned numbers
- Ventilation : in good condition

Process of Stuffing : The cargoes in bags stuffed into the following export
Containers by labour
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Continued

Page : 2/2
Report No. : 3151-A

III. TALLYING :
Attending on the above dates and place we inspected that condition of cargo, based on visual
Examination are as follows :

CONTAINERS QUANTITY CONDITION OF

NUMBER TALLY PACKING

MEDU 6375603 / FJ 03262559 / 20’ 320 Gunny Bags All New Gunny Bags
in good Condition

TOTAL 1 CONTAINER(S) 20’ 320 Gunny Bags All New Gunny Bags
in good Condition

Findings : - As per shipping instruction = 320 Gunny Bags

- As per our tally = 320 Gunny Bags
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- Short / over stuffed = NIL
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Attending : - Our Surveyor

- Shipper’s Representative

Attachment Document : - Tally Sheet Stuffing

- The Selected Photographs

This certificate refers to those point describe therein at time and place of Inspection only and does not certify any other
matters, it is issued without prejudice.

Surabaya, October 12, 2018

PT. COMSINDO

Hery Herawadi
Branch Manager

Branch Office : Jl. Cipunegara 53, Surabaya

Telp./Fax : +62-31-5630510
e-mail : comsindo@yahoo.com
comsindo.sby@gmail.com
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