Page 1 of 2

INTERNATIONAL PACK SLIP

PACK SLIP NO DATE PO NO / Customer PO NO ORDER DATE ORDER NUMBER CUSTOMER NO

02-Dec-19 PO 1911-072 PRODIA POP 24-Nov-19 1806823 6000024647

1001052776
EXPORTER SHIP FROM WAYBILL / TRACKING NO
Illumina Singapore Pte Ltd Illumina Singapore Pte. Ltd. Kristyne Ong EX-WORK
29 Woodlands Industrial Park E1 29 Woodlands Industrial Park E1 FORWARDER/CARRIER MODE OF TRANSPORT
Singapore Singapore North Tech, Lobby 2, #01-10 Will Call Carriers Air
Singapore 757716 Singapore Singapore
SPECIAL INSTRUCTIONS
Singapore 757716

NOTES/REMARKS
SHIP TO SOLD TO
PT. Pandu Biosains PT. Pandu Biosains
No. 18B Jln. Raya Pondok Gede CONTACT NAME No. 18B Jln. Raya Pondok Gede
Dukuh - Kramat Jati Dico Dukuh - Kramat Jati
Jakarta DKI Jakarta Jakarta Jakarta DKI Jakarta Jakarta
Indonesia 13550 Indonesia 13550
CONTACT PHONE
+62 81282588758

CONTENTS
PART NO/
BATCH/SERIAL PACKAGE
LINE NO CATALOG PART DESCRIPTION EXPIRATION DT. QTY UOM STORAGE CONDITION
NO NO

10 20027213/ Nextera Compatible Unique Dual Idx - A 1 EA 15C to 30C

60 20026121 IDT-ILMN Nextera UD Index Set A 20405241 19-MAR-2021 1 EA 1 -15C to -25C

15033412/
20 MS-102-200 MiSeq® Reagent Kit v2 (300 cycle) 3 EA 15C to 30C
2

70 15033624 MiSeq® v2 RGT Kit 300 cyc PE-Bx 1 of 2 20411465 17-SEP-2020 3 EA 1 -15C to -25C

80 15033626 MiSeq® v2 Reagent Kit Box 2 of2 20411735 19-OCT-2020 3 EA 2 2C to 8C

30 20025523/ Nextera DNA Flex LPK Enrich (16 Spl) 1 EA 15C to 30C

90 20026217 NXTR Lib Prep – Buffers – 16 Smpls 20368132 22-APR-2020 1 EA 2 15C to 30C

100 20026303 NXTR Lib Prep – Beads – 16 Smpls 20405453 08-JUL-2020 1 EA 2 2C to 8C

110 20026216 NXTR Lib Prep – PCR Reagents – 16 Smpls 20377139 17-APR-2020 1 EA 2 -15C to -25C

For any questions regarding your shipment, please contact Customer Service at customerservice@illumina.com

These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate
consignee or end user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other
than the authorized ultimate consignee or end user(s), either in their original form or after being incorporated into items, without first obtaining
approval from the U.S. government or as otherwise authorized by U.S. law and regulations.
 Page 2 of 2
INTERNATIONAL PACK SLIP

PACK SLIP NO DATE PO NO / Customer PO NO ORDER DATE ORDER NUMBER CUSTOMER NO

02-Dec-19 PO 1911-072 PRODIA POP 24-Nov-19 1806823 6000024647

1001052776
PART NO/
BATCH/SERIAL PACKAGE
LINE NO CATALOG PART DESCRIPTION EXPIRATION DT. QTY UOM STORAGE CONDITION
NO NO

120 20026212 NXTR Enrich – Bead + Buff – 16 Smpls 20388982 11-MAR-2020 1 EA 2 2C to 8C

130 20026211 NXTR Enrich – PCR Reag + Buff – 16 Smpls 20409243 13-JUN-2020 1 EA 2 -15C to -25C

15017872/
40 FC-110-300 PhiX CONTROL V3 KIT 1 EA 15C to 30C
1

140 15017666 PhiX Control v3 20404080 11-AUG-2020 1 EA 1 -15C to -25C

50 20029551/ TruSight Hereditary Cancer – oligos 2 EA 15C to 30C

150 20024717 TRUSIGHT, HEREDITARY, CANPAN, OLIGO BOX 20322741 09-AUG-2022 2 EA 1 -15C to -25C

PACKAGING DETAILS
GROSS WT L W H SHIPPING CONDITION / DRY ICE WEIGHT
PACKAGE PACKAGE CONDITION
KG CM (KG)
SG-COOLER BOX-20 KG DRY ICE ZENACO SB038 Frozen Materials
1 of 2 26 56 54 56 Store at -15 to -25 °C upon arrival. HAZARDOUS:
20
UN CLASS PASSENGER / CARGO.
SG-COOLER BOX-4KG GEL PACK ZENACO SB018 Refrigratd Materials
2 of 2 9.6 46 46 46
Gel Pack Shipment, store at 2-8 °C upon arrival.
TOTAL PACKAGES TOTAL WEIGHT
2 35.6

For any questions regarding your shipment, please contact Customer Service at customerservice@illumina.com

These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate
consignee or end user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other
than the authorized ultimate consignee or end user(s), either in their original form or after being incorporated into items, without first obtaining
approval from the U.S. government or as otherwise authorized by U.S. law and regulations.