PERMATA -GAYO

BADAN HUKUM :No.518/039/BH/1l1/2006

Jalan :SyiahUtamaNo.66SimpangUtamaBenerMeriah
ACEH - INDONESIA
KOPERASIINDONESIA PERMATAGAYOCOOP
COOPERATIVECOFFEES, INC
071/INV/PGC/2013/2014
302W, LamarSt. SuiteE.Americus, GA31709 USA
FLO ID 6589 ContractNo.
Tel. +1-229-924-3035,Fax.+1-229-924-6250
Attn: ChelseaCarter
FLO ID buyer: 1341 SUG1410
FDA REG NO.13096723740
Shippedby: B/LNumber:
DESPINAPV.HE429A GIBLWl400025 14
From: To:
NEWYORK, NY- USA BELAWAN, INDONESIA
Consignee: Container/SealNo:
TOTHE ORDEROFCOOPERATIVE COFFEES INC MEDU6283277 / FEJ4014414
302W, LamarSt. Suite E.Americus, GA31709 USA
ConnectingVessel:
Tel. +1-229-924-3035, Fax. +1-229-924-6250
MSCCANDICE V.FG429A
Attn: ChelseaCarter
DescriptionofGoods
300 (threehundred)Bagsof 60 KgsNetEach Bag
SUMATRAPERMATAGAYO HIGHLAND
ARABICADP GRADE 1GREEN COFFEE
FLO FAIRTRADE&ORGANICCERTIFIED
SMALLPRODUCER'SSYMBOL
GrossWeight : 18,300 Kgs
Tare 300 Kgs
Nett Weight : 18,000Kgs
Price :US$.
OrganicPremium :US$.
Fairtrade Premiun :US$.
Pricetotal :US$.
FreightPrepaid
C&'F
5,070.58/Mtons
661.38/Mtons
440.92/Mtons
6,172.88/Mtons------FOB
US$.
US$.
US$.
US$.
US$.
US$.
91,270.44
11,904.84
7,936.56
111,111.84
3,200.00
114,311.84
C&.F NEWYORK, NSWaspercontractnO.SUG149
Say: OneHundredFourteen ThousandThreeHundredE/evenpointEightyFour
USDollarsOnly.
- Insuranceto be covered bybuyer
- FreightPrepaid
- PaymentC.A. D
- "Thiscargo/coffeehas notbeen refused entryby anycountry"
Please cable ourmoneytoourBankas bellow:
BankofNewYork,NewYork,BIC:IRVTU53N
for:CreditSuisseZuerich,Accountno.8033342099, BIC:CRESCHZZ80A
forfinalBeneficiary:responAbilityFairTradeFund.
IBANno:CH6604835137356372000
Reference:Permata Ga 0 and res 'vesales contractreference
Marks&Nos. NotifyParty:
PGC EXCElCOTRADING l.P.
015/1730/71 17BATIERYPLACE, SUITE 1010
SUG 1410 NEWYORK,NY10004
TEl.+1-212-344-6771,FAX.+1-212-344-8723
FLO ID :1341
ATIN:AMADEUS EHRHARDT
SUMATRAGAYO MOUNTAIN
(AEHRHARDT@EXCELTRADE.COM)
GREEN ARABICACOFFEE DPGRADE 1
FAIR TRADE FLO+ORGANICCERTIFIED
SMALLPRODUCER'SSYMBOL
"NOHOOKSII
IDCU :812234
FLO ID:6589
PRODOF INDONESIA
TRANSGLOBAL LOGISTICS INC
COMBINED TRANSPORT BILL OF LADING
NOT NEGOTIABLE UNLESS CONSIGNED "TO ORDER"
SHIPPER/EXPORTER (COMPLETE NAME AND ADDRESS)
KOPERASi PERMATA GAYO
lLSYIAH L..'TAMA NO.66KAMPUNG SIMPANG UTAMA
KEC. BAN DAR, KAB. BENER MERIAI-!,
ACEH24582INDONESJA
BOOKING NO
I
BilL OF LADING NO
Gl8l\,AJ141l002S
EXPORT REFERENCES
CONSIGNEE (IF "TO ORDER" SO INDICATE)
EXCELCO TP-ADiNG LP.
17 BATTERY PLACE, SUITE 1010 NEW YOIlK,NY lGO()4
TtL + 1-212-344--6771 FAX. +1-212-344-8723
Cl-iP': I ACUI)U>\QI'lT,ffiP{f'1"1 Tll'bl'!!= f'()M'
FORWARDING AGENT FMC NO:
TGL OTI Number: 019970NF
NOTIFY (NO CLAIM SHALL ATTACH FOR FAILURE TO NOTIFY) APPLICATION FOR DELIVERY MUST BE MADE TO
TO THE ORDER OF COOPERATNE COFFEES INC TRANS GLOBAL LOGISTICS
302 \'J.LAMAR ST. SUITE E AMER!CU5, GA 31709 USA 30 KNIGHTSBRIDGE ROAD, SUITE 525
TEL+1-229-924-303S, FAX. '1'1-229-924-6250 PISCATAWAY NEW JERSEY 008854
ATIN:CHELSEA CARTER FLO JD : 1341 TEL: 732 640 2980
PRE-CARRIAGE BY PLACE OF RECEIPT
fAX :732 6402982
!'it: MIt mili!: safll@trglinc.com
P 'I ioil'f-Jtlll
EXPORT CARRIER (VESSEL, VOYAGE)
RFI I;.Wl;r-J lwmNF<;.IA
PORT OF LOADING LOADING PIER/TERMINAL
MSC [.ANDlC' V,FG4?t)A
PORT OF DISCHARGE
i:lELAWAN INDONESIA
PLACE OF DELIVERY BY ON CARRIER TYPE OF MOVE
NEW YORK, USA CV / CY
PARTICULARS FURNISHED BY SHIPPER
MARKS & NOS / CONTAINER NOS NO. OF PKGS
SAID TO CONTAIN
KIND OF PACKAGES AND DESCRIPTION OF GOODS
GROSS WEIGHT MEASUREMENT
CONTR NO/SEAL NOS.
MEDU6283277 I FEJ4014414
:
PGC
015/1730/71
SUG1410
tLU 1lJ: 1':141
GAVO MOUNTAIN
GREEN ARABiCA COFFEE
DP GRADE 1
FAIR TRADE FLO", ORGANIC CERTIFIEI
SMALL PRODUCER'S SYMBOL
"NO HOOKS"
ID CU _812234
t UJ ltJ : t>::1:!':1
Pl\CD Of !NDON!:5IA
"fETTGO KGS

1-3DO
SHIPPER'S LOAD, 5TO..V, COUNT, WEIGHT & SEALED
lX20'FCL: 300 SAGS OF 60 KGS NET EACH BAG
SUMATRA PERMATA GAYO HIGHLAND ARABICA
DP GRADE 1 GREEN COFFEE
flO FAIRTRADE & ORGANIC CERTIFIED
"Sr,,1ALL PRODUCER'S SYMBOl"
ttJA Ktti NO. nu,; oll'i f4!)

TEMPERATURE CONTROL INSTRUCTION:
\
GROSS WEIGHT:
18,300.00 KGS
NET WEIGHT '
18,000.00 KGS
EXCESS VALUE DECLARATION:
REFER TO CLAUSE 6(3j(B) + IC) ON REVERSE SIDE
FREIGHT PAYABLE AT
NO OF ORIGINAL BL's: :1 (THREE)
FREIGHT & CHARGES
PREPAID COLLECT
RECEIVED by the Carrier the Goods as specified above in
apparent good order and conditil')O, unless otherwise stated, to
be transported to such place as agreed, authorized or permitted
herein and subject to allll'le and conditions appearing on
the front and reverse of this Biil of Lacing 10 which the Merchant
agrees by accepting this Bill of Lading. any local pnvtleges and
customs notwichstanding, The particulars given abov{l are as
statec by the shipper and the weight, measure, quanttty,
condition, contents and value of the goods are unknown to tt'te
carrier_ 11'1 Witness whereoi are (1) original Bill of Lading has
been
carrier one (1) original Bill must be surrendered dUly
endorsed in exchange fOr tra or delivery order.
Signed on behalf of
TRANSGLO';('L LOGISTI c
FREIGHT PREPAlD
Bill OF LADING NO.:
GiBL'\tV1400025
JURISDICTION & LAW CLAUSE:

JURISDICTION
The contract evidenced by or contained in this Bill of Lading is governed by the law of United States of America and any cI<lilT' or dispute arising BELAWAN, 22 JULY 2014
hereunder of in connection herewith shall be detertr>lned by the United States Federal Court of the Southern District of New York and no other courts, Place and dale of issue
TRANSACTIONCERTIfiCATE
USA fORPRODUCTSfROM NOPORGANIC PRODUCTIO:'ll
11. Body issuingthecertificate(nameandaddress)
ControlUnionCertifications B.V,
Meeuwenlaan4-6
8011 BZ ZWOLLE
NETHERLANDS
2,TheNationalOrganicProgramstandards ofthc UnitedStates Departmentof
Agriculture/Control UnionCertificationsstandards
Referencenumberofthe certificate: PRJ 812234/397769
3, Selleroftheproduct(nameand address)
Koperasi PennataGayo
11. Syiah Vtama,No. 66Kampung SimpangUtama.Pondok Barn.Kab.Bener
'vIeriahAcehTengah
NanggroeAcehDarussalam
INDONESIA
4. Inspection body'(nameandaddress)
Control UnionCertificalions BX,
Meeuwenlaan4-6
g011 BZ ZWOLLE
NETHERLANDS
I
5. Producerorprocessorof theproduct'(nameandaddress)
Koperasi PermataGayo(BromoUjung)
JI. BromoUjung,GangIkhias]\;0. 2. Medan,
SumateraUtara
INDONESIA
6.Countryof dispatch
INDONESIA
7. Consignee(nameandaddress)
CooperativeCoffeesInc.
302LamarStreetSuiteE
GA31709 Americus
L'NlTEDSTATES
R. Countryof destination
UXITEDSTATES
9. Addressand placeofde:stination*
10. Marksandnumbers,containerno(s), numberandkind,Tradenameofthe product.
!><OPccrtified
Production Lot/batch Grossmass Netmass
Year numbers (kgs) (kgs)
100%organic SumatraPennataGayoArabicaCoffee (SUMATRA PERMATA
GAYOHIGHLANDARA.BICA DPGRADE IGREENCOFFEEFLO 2014 18300.00 Igooo.oo
FAIRTRADE& ORGANICCERTIFIED)packedinunitsof60Kg;in 300Bags
fromorganicproductionmethod:;,
Invoice no.: 071!INV/PGCi2013i2014 d.d.18-07-14
Transportdocumentno,: GIBLW1400025 d.d. 22-07-14
Containerno.: MEDU62R327-7
Identificationcode,:PERMATA GAYOCOOPERATlVE015/]730171 SUGI410SEAL NO.FEJ4014414TRANSPORTCOMPANY
TRANSGLOBALLOGISTICS INC
II Grossmass
I R300,OO kgs
12, Net mass
t ROOO,OO kg,
13. Alternative unit'S"
14. Declarationofthe bodyissuingthe certificate
15. Additionaldeclaration(ifappropriate)
16, Placeanddaleofissue 1akarta.04August2014 Stampoflheissuing body
X.meandsignatureofauthorisedperson
behalf Director
dPi b!t\\\\\\\\'

-



*Explanatorynotes
Box4: Theinspectionandcertification bodyforcompliancewith theruleson from organicproduction methods..
Box5: Thelinnwhichcarriedoutthelastoperation (processing,packaging. labelling)onthebatch.
Box9: Theaddressufthefirm wherethe batchwillbedelivered, if differentfromtheaddress in box7
Box 13: e.g. volumein meters.tobegiv!n,whereappropriate. in supplementto thedeclarationsin boxei) 11 and i 2.