Closed at $3.

20 on 12 March 2014
I
KOPERASI
PERMATAGAYO
NomorBH:518/0391BH1V12006
Jln.SyiahUfamaNo.66KampungSimpangUtama,KecamatanRandar
KabupatenBenerMenah,Aceh 24582- Indonesia
COOPERATIVECOFFEES, INC 039/INV/PGC/2013/2014
302W, LamarSt. Suite E. Americus, GA31709USA
FLO 106589 ContractNo.
Tel.+1-229-924-3035. Fax.+1-229-924-6250
Attn: ChelseaCarter
FLO 10buyer: 1341 SUG147
FDA REG NO.13096723740
Shippedby: B/LNumber:
.ARISARA V.1422 603197606 DO. 4
From: To:
BELAWAN, INDONESIA NEWARK, NJ - USA
Email:
Consignee: Container/Seal No:
TOTHEORDEROF COOPERATIVE COFFEES INC MRKU9000788/ ML-ID1380749
302W, LamarSt. SuiteE. Americus, GA31709USA
ConnectingVessel:
Tel.+1-229-924-3035. Fax.+1-229-924-6250
CMA CGM TANCREDI V.A09S
Attn: ChelseaCarter
Descriptionof Goods
300 (threehundred) Bags of 60 Kgs NetEach Bag
SUMATRAPERMATAOAYOmORLAND
ARABICADP GRADE 1GREENCOFFEE
FLOFAIRTRADE& ORGANICCERTIFIED
GrossWeight
Tare
Nett Weight
FOB Belawan NSW aspercontract
Say: OneHundredTwenty .
point NinetySixUS
: 18,300 Kgs
300 Kgs
: 18,000Kgs
US$. 107,143.56
US$. 11,904.84
US$. 7,936.56
US$. 126,984.96
- Insurancetobecovered
- FreightCollect
- PaymentCAD
- "Thiscargo/coffeehasnotbeen refused entrybyanycountry"
PleasecableourmoneytoourBankas bellow:
payto: BankInternasionalIndonesiaKrakatauMedanBranch
for:KoperasiPermataGavo, Accountno. 2.208.0028.48
SIC: IBBKIJA
Marks& Nos. Notify Party:
PGC EXCELCOTRADIKGL.P.
015/1730/39
17BATTERYPLACE, SUITE 1010
NEWYORK,NY 10004
SUG147
TEL.+1-212-344-6771,FAX.+1-212-344-8723
FLOID: 1341
ATTN: AMADEUSEHRHARDT
SUMATRAGAYOMOUNTAIN
(AEHRHARDT@EXCEL
GREENARABICACOFFEEDPGRADE 1
I .1 /J
FAIRTRADEFLO+ORGANICCERTIFIED
KOl?EAASI PERMATA GAYO
IDCU:812234

/:
1/
,"
PRODOFINDONESIA
FLOID:6589 ,.
i "" j
NETI60KGS

NEWARK,NJ
/ /1
1-300
Ir.Armia
KOPERASI PERMATAGAYO
JL.SYIAH UTAMA NO.66KAMPUNG
SIMPANG UTAMA KEC.BANDAR,KAB.BENER
MERIAH ACEH-24582 INDONESIA
i
BILL OF LADING FOR OCEAN TRANSPORT 501:. MAEU
OR MULnMODAL TRANSPORT
MAERSK LINE
BM"' 603197606
532992
part ofcarriageasdefined inclause 1. For accountand risk ofMen:hant)
TO THE ORDER OF COOPERATIVE EXCELCOTRADING L.P.
COFFEES INC 17BATTERY PLACE,SUITE 1010NEW YORK,NY
302W.LAMAR ST,SUITE E, AMERICUS,GA 31709USA. 10004.TEL:+1-212-344-6771,FAX:+1-212-344-8723
TEL:+1-229-924-3035,FAX:+1-229-924-6250. ATTN:AMADEUS EHRHARDT(AEHRHARDT@EXCELTRADE.COM)
ATTN:CHELSEA CARTER. FLO 10:1341
18300KGS 25 CBM
1 ContainerSaidtoContain 300Bag
090111000 (HS)
300 BAGS OF60 KGS NET EACH BAG
SUMATRA PERMATA GAYO HIGHLANDARABICADP GRADE 1 GREEN COFFEE FLO
FAIRTRADE & ORGANICCERTIFIED
NEWARK,NJ, UnitedStates
SUG147
FLO 10:1341
SUMATRA GAYO MOUNTAIN
GREEN ARABICACOFFEE
DP GRADE 1
FAIRTRADE FLO+ORGANICCERTIFIED
10CU:812234
FLO ID:6589
PROD OFINDONESIA
NETT60KGS
NEWARK,NJ
Unit Prepaid Collect
FDA REG NO.
PGC
015/1730/39
1/THREE
D<dared Value (see clause7,3)
Plai;eof_ofB/L
Medan
SignedfOf thecarrierA.P. MtlIIerMael>kA/Strading as _ U""
As flgent(s}forthecarrier
Thistransportdocumenthas oneormorenumberedpages
002L'!9 68
B/L: 603197606 Page: 2
/ ..........
MAERSK LINE
1-300
MRKU9000788 ML-ID1380749 20 DRY 8'6 300 Bag 18300 KGS 25 CBM
SHIPPER'S LOAD, STOW, WEIGHT AND COUNT
FREIGHT COLLECT
"SHIPPER DECLARES MARKS AND NUMBERS TO INCLUDE (PROD OF INDONESIA). THIS
DECLARATION, INCLUDING OTHER CARGO DETAILS HAS NOT BEEN VERIFIED BY OR FOR
THE CARRIER WHO SHALL BE WITHOUT ANY RESPONSIBILITY FOR ITS CORRECrNESS
AS PER CLAUSE 14.2 HEREOF"
CY/CY
/ Frelght&.Cl\aJyeS Currency Collect
002419/169
TRANSACTIONCERTIFICATE
USAFORPRODUCTSFROMNOPORGANICPRODUCTION
I. Bodyi<suingthecertificate (nam"andaddress)
ContinIUnionCertificationsB.V.
Organic Program5,tandards oftht,UnitedStatesDepartmentof
AmriculltUJ'c/C;onllroi Union Ccrtilicarionsstandards
Meeuweniaan 4-6
ofthecertificate: PRJ 8122341364136
SOliBZ ZWOLLE
10. nmnb'cr-and Tradename,oftheproduct.
NOP'ccnjficd
HlO%organicSupjatraPcrtnataCayoHighlandArabicaCoffee (SUMATRA
I'ERMATAGAYOHIGHLANDARABlCADP GRADE1GREEl'COFFEE FLO
f'AIRTRAOE& ORGANICCER'I1F1EDl) packed InIN60KGSPERUl'\lT300
BAGS
fromorganicproductiollmethods.
00;()391INV/PGC/2013/2V14 d,d, 14,0314
4.10",,""'ionhody' lnanl<' and address)
ControJUrtionCertificatio!)sBV.
Production
Yeilr
2014
Lot/batch
numbers
Gross Nel rna')S
(kg,) (kgs)
18300.00 18000.00
Siampofthe issuingbody
.
B...... Th,.-_e.in. s.. p.,_ nand.CC.J"fiCBUOIl body com.pliAJlCCowith the rulesonfromorganicproductionmethods__
Box 5:'thefirm,,-hichcarrletlrutthelastoperationlpmccs<mg. packaging, labelling) onthe batch.
Bo"9:ThoaddressorthofirmINhere1ft"batchwill bedelivered,if(liffercnt from theaddressin box 7.
BoxJ;l:e,g., volume IOlllClerS, beglveTl,. appropriate.insupplementtothedeclaralionsinboxes 11 and 12.
11. Grossm3:'t5
18300.00kg<
12.Net
18000.00kgs
13, Alternativeunits ..
3. SellcrDftheproducr(nameand address)
KopcrasiPennataGayo
JL SyiahUlama, No. 66KampungSimpang l;tama, PondokBani.
McriahAcehTcngah
NanggroeAcch Darussalam
INDONESIA
5. Producerorprocessoroftheproducl"'(nallleandaddress)
KoperasiPermataGayo (Bromo Ujung)
JI. BromoUjung,GangIkbIasNo.2,Medi\ll;
Sumatera Utara
INDONESIA
7. Consignee(name and adc;lres,)
CooperativeCoffeesInc.
302 LamarStreetSuiteE'
GA
UNITED StATES
8.01lBZ ZWOLLE
NE'tHERLANDS
6, CountlYofdispatch
INDONESIA
g. Counrryofdestination
UNITEDSTATES
9, Addressand placeofdeselnation'

'V



CONTROL UNION CERTIFICATIONS