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QUantitY
Kgtobll! 18 .LbS.,tolilJ:
Quality Origin: Sumab'a
1341
2012-2013
TYPEt:Greenar:ablcaspeCialty qualitY> Jf3ayp European

(s): . FI,;Qcer1iftE!d'and Qrganlc NOP certified
Price
..,.. per Jb
O:20$U:!l perll;)+0qiJpte!Jl O.30$USpur Ib)
Incontsrm:< FOfi .
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fPrt."iSpol1tract? NO
VVhendo ytlu.. .

Pra financing :wIUbe. 'by jntelJltit Wil
Payment ..
Insurance To shipi:Qvema,by by D\.!yet
ShIpment Date: Port of: B.elewari
Remarks Pte-shipment sample
Ulpded '. . . ...., bOse
ThisCt)ffee waStmdecj? ..... ..... ........... ............. ' '. ".."........ '.' ...........'. ....
. '/..... . requlredbetore(paY!1ieilt
..... ...... '...' .. ' ...... .. .i .. ..
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st
... or name
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Name:
Date:
Name:
Data:
...
KOPERASI
PERMATA GAYO
Nomor BH : 518/0391 BH 1V12006
Jln. Syiah Utama No.66 Kampung Simpang Utama, KecamataD Bandar
Kabupaten Bener Meriah, Nanggroe Aceb Darussalam - 24582 -Indonesia
Shippedby: BIL Number:
Arisara V.1327 602598116 13
FIORI: 1 To:
Belawan, Indonesia Newark, NJ
Consignee: COIItainerlSeaINo:
To The Order of Cooperative Coffees Inc MRKU9020470 1ML-ID1394819
302 W, Lamar Sf. Suite E. Americus, GA 31709 USA 1------------------
Tel.+1-229-924-3035, Fax.+1-229-924-6250 Connecting Vessel:
Attn: Chelsea Carter CMA CGM SAMSON V.809S
Gross Weight
Tare
Nett Weight
: 18,300 Kgs
300 Kgs
: 18,000 Kgs
Price
Organic Premium
Fairtrade Premiun
: US$.
: US$.
: US$.
4,232.70/Mtons
661.38/Mtons
44O.921Mtons
Price total : US$. 5
1
335.00/Mtons
COOPERATIVE COFFEES, INC
302 W, Lamar St. Suite E. Americus, GA 31709 USA
Tel.+1-229-924-3035, Fax.+1-229-924-6250
Attn: Chelsea Carter
Email: gayopermata@
Contract No.
SUG135
Description of Goods
300 (three hundred) Bags of 60 Kgs Net Each Bag
SUMATRA PERMATA GAYO HIGHLAND
ARABICA DP GRADE 1 GREEN COFFEE
FLO FAIRTRADE & ORGANIC CERTIFIED
FOB Belawan NSW as per contract no.SUG135
Say : Ninety Six Thousand and Thirty US Dollars only.
- Insurance to be covered by buyer
Freight Collect
- Payment CAD
- "This call1O/coffee has not been refused ent country-
US$. 76,188.60
US$. 11,904.84
US$. 7.936.56
US$. 96,030.00
NaI1cs & Nos.
PGC
015/1730/62
SUG 135
FLO ID: 1341
SUMATRA GAYO MOUNTAIN
GREEN ARABICA COFFEE DP GRADE 1
FAIRTRADE FLO + ORGANIC CERTIFIED
ID CU : 812234
FLO ID: 6589
PROD OF INDONESIA
NETT60KGS
NEWARK,NJ
1-300
Please Ci:1bIe ourpayment to :.................. ..
USU MEDAN BRANCH,with Account NO..... :
behalf of KOPERASI GAYO PERMATA
Notify Party:
EXCELCO TRADING L.P.
17 BATTERY PLACE, SUITE 1010
NEW YORK,NY 10004
TEL. + 1-212-344-6771,FAX. + 1-212-344-8723
ATTN: GEORGE TSIASTSIOS
( GTSIATSIOS@EXCELTRADE.COM)
KOPE#I:;. 'ERMi GAYO
Aceh 1" .
"
If'
! .t
r If.;
ii/I /1 I /1
f i :'./t (I..
! I ! \.-'-! \ ),.;..pt
III l/' J
l II I r . A r m i ~
if
PT.BANK NEGARA INDONESIA (PERSERO) TBK
186412423 (USO) Swift Code : BNINIDJAXXX on
KOPERASI PERMATA GAYO
Jl.SYIAH UTAMA NO.66 KAMPUNG
SIMPANG UTAMA KEC.BANDAR,KAB.BENER
MERIAH ACEH-24582 INDONESIA
"to order 01" a n&me<!
THE ORDER OF COOPERATIVE COFFEES
INC
302 W.LAMAR ST.SUITE E AMERICUS, GA
31709 USA TEL +1-229-924-3035,FAX
+1-229-924-6250 ATTN:CHELSEA CARTER
FLO ID;1341
ARISARA
Port <)/ Loading
Belawan NEWARK NJ,United States
1 Container Said to Contain 300 Bag
SHIPPER PROVIDED 0901110000 (HS)
300 BAGS OF 60 KGS NET EACH BAG
SUMATRA PERMATA GAYO HIGHLAND ARABlCA DP GRADE 1
GREEN COFFEE FLO FAIRTRADE& ORGANIC CERTIFIED
WEIGHT NET =:; 1
PGC
015/1730/62
SUG135
FLO 10:1341
SUMATRA GAVO MOUNTAIN
GREEN ARABICA COFFEE
DP GRADE 1
FAIR TRADE FLO + ORGANIC CERTIFi.ED
ID ClJ:812234
flO ID:6589
PROD OF INDONESIA
NETT 60 KGS
NEWARK,NJ
This transport document has one or more numbered pages
sc;M: MAEU
B/lNo. 602598116
25 CBM
Currl!OCY Collect
, i
BfL: 602596116 Page: 2
l
1
1
-
300
IMRKU9020470 ML-ID1394819 20 DRY 8'6 300 Bag 18300 KGS 25CBM
,SHIPPER'S LOAD, STOW, WEIGHT AND COUNT
I
!FREIGHT COLLECT
,
:5hipper 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
iWithout any responsibility for its correctness - as per clause 14.2 hereof
i
j
CY
/
CY
I
Currency Freight I< Charoes
> , "
TRANSACTION CERTIFICATE
USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION
1. Body is'juing the certificate (name and address)
Control Union certifications RV.
Meeuwenlaan 46
8011 BZ ZWOLLE
NETHERLANDS
3. Seller of the product (name and
Koperasi Pennata Gayo
J1. Syiah Utama. No. 66 Kampung Stmpang Ut.ma. Pondok !3aru, Kab. Bener
MeriahAceh Tengah
Nanggroe Aceh Darussalam
INDONESIA
5. Producer or processor of the product' and address)
Koperasi Permata Gayo (Export)
J1. Kongsi No, 278 MariendaI. Medall
Sumatera Utara
INDONESIA
7. ConSignee (name and address)
Cooperative Coffees Inc:
302 W.Lamar St. SulleE.
GA 31709
UNITED STATES
10. Marl;s iI!ld.llomhers.c.ontalneNlO(s)" number aiidklnd. Trade name of the product.
2.The National OrganiC Program standards of the United States Department of
AgriculturciControl Union Certifications standards
Reference number of the certificate: PRJ 812234/291323
4. l'"'f\"ction body'l.name and address)
Control Unibn certifications B.V.
Mecuwent."n 4-6
801lBZ ZWOLLE
NETHERLANDS
6. Country of dispatch
INDONESIA
8. Country of destination
UNITEP STATES
9. Address and plac.e of destination'
N01'ce!tifled
Production
Year
Lotlbatch
numbers
Gross mass
(kgs)
Net mass
(I<.gs)
100.% organic Gii.yo MOUQtall'l Coffee (Sumatra Gayo Mountain Green Arabica
CW'll'DP. GradelI'aI,lrade FLO and Organic Certified Prod of Indonesia) 2013 18300.00 18000.00
packed inU!li[s611 Kgs in 300b'lgS
fromorganlcproductioo o)etbods.
no.; O&lAlINVIPGCf2012/2013 d.d.280313
'1ranspolt dOCUlllell!rtQ.:6112598116 d.d.Ol0413
.
.: ldedtiflcllotiOJ,c()des ;PERMATA GAYO COOPERATIVE Identification code:O 1 S!l730162.SUG.135 Seal Number :MLJD1394819 Shi
pin,!!
11. Gross mass
i8300.00 kgs
12. Net maSS
18000.00 kgs
13. Alternative units '"
SeIa!"", 04 April 2013
..

'Exi>1analOl)' ,notes: . \ .
4:'Tl!!iiospiiCtion 'and CertificatiOn bo<\y for compliance with the rules on from organic production methods ..
&><S:;The.frrffi:whiChcllITiedout the lasr.operation (processing, packaging, labelling) 011 the barch.
&,,9; firm where the batch will be delivered. ifrlifferent from the address in box 7.
to be given, where .appropriate. in supplement t{) the declarations in box ... II and 12.
.CONTROL UN ION CE RTI FICATIO N S