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'1. Setuju dengan ketentuan pengirimandi balik Bukti Terima Kiriman ini

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61

UNTUK PENGIRIM

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Oispatcning administration

PT.Pos Indonesia (Persero)Dispatching office of ekchange

JAKARTA MPC

LETTER BILLExchange of mails

Date of departure Mail No

261011201013210 0017 / UN

Office of exchange of destination

Signature

cN 31

2 Transit cha nd terminal d

3 Summary of i tems entered in the mail

5 Closed mails included in the mailNo of the mail Office of origin Office of destination No of recept. or packets

itemsBulk entry in words twenty oneDispatching office of exchangeJAKARTA MPC, 25101 1201A 1 5:12SignatureMOCH M. NASIR

il flilillillilililil ll ilil ll ll llill ]ilil l ll llllll lilllllllllllllllll l lilI D J K T C T H B K K A A U N O O O l T

X AirJ . A . L .

SurfaceX Priority

Office of exchange of destination

BANGKOK MAIL CENTREThailand Post Co., Ltd

Flight Noffrain No/Name of shipTG 0434

Transit administration (s)

Priority / Non-Priority - LC/AO

Total number of baqs in mail

c e s a n uesPriority / Non-Priority - LC/AO Empty bags M bags

Mail subject to transitcharges and/or term. dues

Mail exempt from transit:harges and terminal dues

Subject to transit chargesrnd exempt from term. dues

U p t o 5 k g More than 5 kg

Weight kg I g

3.4Weight kg I g

0.0Weight kg I g

0.0Weight kg I g

0.0Number

0Weight kg | 9

0.0Number

0

Totalweight of mailk g l g3.4

nNumber of receptaclescontaining only

Number of packetscontaining only

Number of Number of i temssubject to terminal dues

No of i te ' turned to orig.exemtr om term. dues

Registered items1

Registered items1

CN 33 special lists1

Registered20

Registered1

lnsured items0

Insured items0

CN 16 dispatch l ists

0Insured

0lnsured

04 Official notesPresence of orci inary i tems

T-I

lexpress I la irmai l I ICOD

Presence of registered i tems

flexpress ilairmail fl coo

I CN 44 note enclosed in mai lsNumber o f CN 65 b i l l s

0

Other information

IBRS bags

IBRS bundles

Number i Weight (Kg) Total IBRS items

00 | 0.0000 | 0.000

Total number of receptacles in mailNumber of receptacles to be returnedNqmber of receptacles being returned

bags rrays others total

1 0 0 11 0 0 10 0 0 0

UPU/IPS build 424

- 1administration

PT.Pos Indonesia {Persero)Dispatching office of exchange

JAKARTA MPC

SPECIAL LISTRegistered itemsDate of departure

261011201013:10

Special l ist No

1 1 1 i n

cN 33

lnnerbag 001

Mai lNo

0017 / uNX Air

S.A.L.Surface

x Priority

Office of exchange of destination

BANGKOK MAIL CENTREThailand Post Co., Ltd

Flight Noffrain No/Name of ship

TG 0434

Bulk entrvNumber (in letters)twenty one

Number (in figures)

21

IndividualentrySerialNo

No of the item Office of origin ObservationsSerialNn

No of the item Office of origin Observations

1

2

3

4

5

6

7

I

9

1 0

1 1

1 2

1 3

1 4

1 5

1 6

1 7

1 8

1 9

20

RR00471821 1 lD

RR0061 1 8728tD

RR0021 76932tD

RR00587631 5tD

RR005876151rD

RR005876205rD

RR0058768541D

RR0058764651D

RRo00674991 lD

RR000675008tD

RR001785968tD

RR005671565tD

RR005682495tD

RR003958887tD

RR002503782tD

RRo00121701tD

RR005068778tD

RR0056716571D

RR002176844rD

RE616407717TH

RRo00936114rD

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IDJKTC

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IDJKTC

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return

Dispatching office of exchangeJAKARTA MP C, 25101 1201 0 1 4:00

Signature

MOCH M. NASIR

Office of exchange of destination

Signature

UPU/FS build 424