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--- 300

Closed at $3.08 on February 8, 2017

--------------------------- N/A - full container of SUT171


KOPERASI SERBA USAHA
PERMATA GAYO
BADAN HUKUM :No.51&t)39/BH/lll/2006
Jalan :SyiahUtama No.66 SimpangUtamaBenerMeriah
ACEH - INOONESIA
KOPERASI INDONESIA PERMATA GAYO COOP

COMMERCIAL INVOICE
dd.10/02/2017
Messrs. Invoice No.
COOPERATIVE COFFEES , INC
302 W, Lamar St Suite E. Americus, GA 31709 USA
032/INV/PGC/2016/2017
I
Tel. +1-229-924-3035, Fax. +1-229-924-6250 FLO ID 6589 Contract No.
Attn: Becky Johnston FLO ID buyer: 1341 SUT171
FDA REG N0.13096723740
Shipped by: B/L Number:
MERATUS MEDAN 5 V.1714 959450011 DD.14/02/2017
From: To:
BELAWAN, INDONESIA NEWARK, NJ - USA
Consignee: Container/Seal No:
TO THE ORDER OF COOPERATIVE COFFEES INC MSKU7289992 / ML-ID222448
302 W, Lamar St. Suite E. Americus, GA31709 USA Connecting Vessel:
Tel.+ 1-229-924-3035, Fax.+ 1-229-924-6250
ANNA MAERSK V.706W
Attn Beck Johnston
Description of Goods
300 (THREE HUNDRED) BAGS+ GRAINPRO BAG
OF 60 KGS NET EACH BAG
SUMATRA PERMATA GAYO HIGHLAND
ARABICA DP GRADE 1 SPECIALTY GREEN COFFEE
FLO FAIRTRADE & ORGANIC CERTIFIED

Gross Weight 18,300Kgs


Nett Weight 18,000Kgs

Price : US$. 5,687.89/Mtons US$. 102,382.02


Organic Premium : US$. 661.38/Mtons US$. 11,904.84
FairtradePremiun :US$. 440.92/Mtons US$. 7,936.56
Price total : US$. 6,790,19/Mtons ------FOB US$. 122,223.42

FOB BELAWAN, NSW as per contract no.SUT171


Say :One hundred twenty two thousand two hundred twenty three and Cents
forty two US Dollars Only.
- Insurance to be covered by buyer -Freight Collect -Payment C.A.D
- "This cargo/coffee has not been refused entry by any country"
Please cable our money to bank details as below
pay to: PT Bank Maybank Indonesia - Medan Krakatau Branch
for: Ko erasi Permata Ga o Account no. 2.208.0028.48, BIC: IBBKIDJA
Marks & Nos. Notify Party:
PGC EXCELCO TRADING L.P.
015/1730/32
17 BATIERY PLACE, SUITE 1010
SUTl71
FLO ID : 1341 NEW YORK,NY 10004
SUMATRA GAYO MOUNTAIN TEL.+ 1-212-344-6771,FAX. + 1-212-344-8723
GREEN ARABICA COFFEE ATIN : GEORGE TSIATSIOS
SPECIALTY DP GRADE I (GTSIATSIOS@EXCELTRADE.COM)
FAIR TRADE FLO+ ORGANIC CERTIFIED
'"NO HOOKS"
ID CU: 812234
17C'r"":nMIIA A GAY01
FLO ID : 6589
PROD OF INDONESIA
NETT60KGS
, \\ esia ( y!.
NEWARK,NJ
1-300 J :ij
/-~
C -.--:-
"-~.- f> 1,,-, I ,.-, I !
Ir. Armia
TRANSACTION CERTIFICATE

USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION

I. Body issuing the certificate (name and address) 2 a) The National Organic Program standards of the United States Department of
Control Union Certifications B.V. Agriculture/Control Union Certifications standards
Meeuwenlaan 4-6 2 b) Reference number of the ce rt ificate: PRJ 812234/73 1245
8011 BZ ZWOLLE
NETHERLANDS
3. Selle r of the product (name and address) 4. In spection body* (name and address)
Koperasi Pennata Gayo Control Union Ce rtifications B.V.
JI. Syiah Utama. No. 66 Kampung Simpang Utama. Pondok Baru Meeuwenlaan 4-6
24582 Bener Meriah 8011 BZ ZWOLLE
Aceh NETHERLANDS
INDONES IA
5. Producer o r processor of the p roduct* (name and address) 6. Country of dispatch

K operasi Permata Gayo (Bromo U jung) INDONESIA

JI. Bromo Ujung , Gang lkhl as No. 2Medan


Sumatera Utara
INDONESIA
7. Consignee (name a nd address) 8. Country of destination
UNITED STA TES OF AMER ICA
Cooperative Coffees Inc.
302 Lamar Street Suite E
GA 3 I 709 Americus
9. Address and place of destination*
UN ITED ST A TES OF AME RI CA
JO. Marks and numbers, container no(s), number and kind. Trade name of the product. II. Gross mass
Production Lot/batch Gross mass Net mass
NOP certified
Year numbers (kgs) (kgs) 18300.00 kgs

I 00% organic Sumatra Permata Gayo Highland Arabica Coffee (SUMATRA


PERMATA GAYO HIGHLAND ARABICA DP GRADE I SPECIALTY GREEN 12. Net mass
2017 18300.00 18000.00
COFFEE FLO FAIR TRADE & ORGAN IC CERTIFIED) packed in PACKED UN IT 18000.00 kgs
60 KGS IN 300 BAGS

from organic production methods. 13. Alternati ve units*


Invoice no.: 032/INV/ PGC/2016/2017 ct.ct. 09-02-17
Transport documen t no.: 959450011 d.d. 14-02-17
Contai ner no.: MSKU728999-2
Iden tifi cation codes : PERMATA GAYO COOPERATIV E 015/ 1730/32 SUT171,SEAL NO.ML-ID 2224489. SHIPPING COMPANY:
MAERS K LI NE

14. Declaration of the body issuing the certificate

15. Additiona l declaration (if appropriate)

Certified in compliance with the tenns of the US-Canada Organic Equivalency Arrangement.

~
16. Place and date of issue Jakarta. 20 February 2017 Stamp of the issuing body

~~\~\
Name and signature of authorised person

&,
anagmg Director
- '

~ no Mr. (Winaryo)
Co,,trdllruon~III
~aoalldldD1 hUrwt.d
,~~r.Tlf Sf M N ~ f l f ~

*Explanatory notes
Box 4: The inspection and cen ificati on body for compliance with th e rules on from organic production methods ..
Box 5: The !inn wh ich carri ed o ut the las t operation (processing, packaging, labelling) on the batch.
Box 9: The address of the firm where the batch will be delivered. if different from the address in box 7.
Box 13: e.g. volume in meters, to be given, where appropri ate, in supplement to the declarations in boxes 11 and 12.

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