INDEPENDENT SURVEYOR, MARINE & CARGO INSPECTION

FUMIGATION & PEST CONTROL

MEMBER OF:
The Association of
Independent Surveyors Indonesia

BERITA ACARA
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Nama Kapal : BG.

Muatan/Quantity : CRUDE PALM OIL / ± MT
Pengirim : PT.
Penerima : PT.
Pelabuhan :
Tanggal : Jam :
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Dengan ini kami surveyor PT.Surya Buana Inspectindo, yang ditunjuk oleh
PT.......................................................................................Untuk melaksanakan survey
pemuatan / pembongkaran CRUDE PALM OIL di pelabuhan..............................................
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Demikian berita acara ini dibuat dengan sebenar-benarnya dan sesuai dengan waktu dan
tempat kejadian untuk dipergunakam sebagaimana mestinya.
Dibuat Oleh , Diketahui oleh

Surveyor Shipper Chief Officer

Head Office : SENTRA BISNIS HARAPAN INDAH BLOK SS 19 NO 07 BEKASI

Phone (62-21) 88976250 Hp 0813-82738002 Fax. (62-21) 88976250
E-mail: suryabuana_inspectindo@ymail.com