V V 
REPUBLIC OF INDONESI A 
DEPARTMENT OF AGRICULTURE 
DIRECTORATE OF PLANT QUARANTINE 
ORIGINAL 
M 31406 
31406 
PHYTOSANITARY CERTIFICATE 
This is to certify that the plants, parts of plants or pjant products described below or representative samples of 
jlgrcii ‘-*th.,1975 
by 
All 
them were thoroughly examined orr .. . 
an authorized officer of Directorate of Plant Quarantine in 1 A T 
and were found to the best of his knowledge to be substantially free from injurious diseases and pests and the con- 
signment is believed to conform with the current phytosanitary regulation of the importing country both as stated in 
the additional declaration hereon and otherwise. 
DESCRIPTION OF THE CONSIGNMENT 
Name and address of Exporter 
• 
Name and address of Consignee ....x ... . .. u ' 
Number and description of packages 
1 c \ ■.*. ..3 ^ ^ . . i. L k * X KJ- ) y ■ ■ J Jmt . , < 
1 parcel 
Distinguishing marks 
Origin (if required by importing country) 
Means of conveyance - 5 - . - 
Quantity and name of produce 
Point of entry 
( 3 envelop eg), plant s ( 2 ) • 
Botanical name (if required by importing country) 
bee 
16 
“i q 
FUMIGATION OR DISINFECTION TREATMENT 
Date of fumigation Treatment 
Duration of exposure Chemical and concentration 
Additional declaration 
Charges: Rp. Ml/*.” .. 
77 
DIRECTORATE OF PLANT QUARANTINE 
(77 . M\A ///■ 
i " I -*X/i 
Inspector ; Jr 
iii • * i) jj«L 
(In block letters) 
This certificate applied only to injurious insects and diseases of the growing crop which are readily capable of 
detection at the time of shipment. 
No liability shall attach to the Department of Agriculture of Indonesia or to any officer or representative of the 
Department of Agriculture with the respect of this Certificate. 
\ 
