Closed at $2.

44 on June 6, 2016

.-

PT. SUM
Office:

T
Warehouse/Processi ng Unit A:

S ~ iah

Ulnma , No. l b .
impang Meluem. Desa Godang.
Kampllng Makmur Scntosa. Kcc . Bandar,
Kec. Bulat. Kab. Bcncr Meri ah
Kab. B 11 r Meriah. Aceh, lndon sis. 24582 Acch. Indones ia, 245112
Email . sag.coITee(qigmaiL com
Websitc . www. ag.cotTee

Jalan

Warehouse/P rocessing Unit B :

Julan Pertahanan, No.6 1-B. Desa

Patumbak, Deli Serdang, Medan.
Indones ia.
PhonclFax +()26 1(7 8732()517873267)

COMMERCIAL I NV01CE
Date . June 02. 20 16

No . 01 6/INV/SAGIVII20 16

Messrs.

Shipped by
From
Destination

COOPERATIVE COFFEES. INC

302 W, Lamar St. Su.ite E. mericus, GA 31709 USA
Tel .+ 1-229-924-3035, Fax.+ 1-229-924-6250
Attn: Chelsea Carter. FLO 1D 134 1
MSC Giorgia YHE622R
Belawan - Indonesia
New York. NY - USA

FDA RegNo.

159 159 704 68

BL No.

GIBLW1600022

DD 06/06/2016

DESCRIPTION OF GOODS

AMOUNT

300 Bags in 60 Kgs ew Single G unny Bag + G rain Pr o

SUMATRA ARAB ICA GAYO GREEN ARABIC A SPEOALTY GRADE

QUALITY COFFEE FA IRTRA DE & O RGANIC CERTlFICATE

AS PER CO NTRACf S GI 610

Gross Weight
are
Nell Weight

Price
Organic Premium
Fairtrade Pr miull

Price total

18,300 Kgs
300 I(gs
18,000 Kgs

SS. 4,27G.70IMtons
SS.
661 .381M1ons
S$. 440.92/Mlons
\J $. 5.3 7CJ .221M10ns ----FOB

Freigh t Prepaid

C&F
Grain Pro pric and other cost for 300 piCe
Total Im'oice
C&F EW YORK NSW as per contract no SUG \ 6 1 \
Sa)' .One Hundred 'l hollsand and 'l hree Hlindred n uny Seven and . em Ninety S'ix r!, Dollars Only.
- Insurancc to bc covered by buycr
- Freight Prepaid
- Payment CA.D
- "This cargo/cotTee has not been refused entry by any countr:'"
M arJ.:~

& Nns

PT. AC
015/1789/09

SUCI610
FLO 1D:13~ 1
UMA TRA ARABICA CA YO
CREE Q ALiTY PEClALTV
GRADE QUALITY COFFEE
YALR TRADE FLO + ORGANIC CERTIFIED
"NO HOOKS"

ID

:R3l-nS

FLO IV :27978
ASKOG O I'LO ID :1821 3
PROD OF INDONESIA
NETT 60 KGS
NEW YORK
1-300
CONT & SEAL NO.

Consignee :

COOPERATIVE COFFEES lNC

302 W.Lamar SLSUlte E AmericlIs, GA 3 1709 USA

Tel: + 1 229-924,3035, Fax:+ 1-229924-6250

ALLn : Beck~ J hnslon

Notify :

. EXCELCO TRADING L.P

17 Battel) Place, Suite IO! 0 Ne\1 York, NY 10004
Tel. + 1-2 I 2-344677 L Fax + 1-212 -344 , B723
Attn : George Tsitsios. E-mail (GTsiatsios q'cxccilrade)

M. Agustiar .

Please pay Oll r Invoice to Bank add ress below

PT UMATERA ARABIKA GAYO. Account No .021504 1342 (USO)

at PTBank 1 egara Indonesia (Pcrsero) TBk. SU Mcda n Branch

Swift Code:B INlDJAXXX

US$ 76,984 56
S$. 11,9 4.84
US$
7,936)6
US$ . 96,825 .96
US$. 2,650.00
US$. 99,475 .96
US$
860.00
US$ . 100,33 5.96

----..

- , TRANSGLOBAL LOGISTICS INC

COMBINED TRANSPORT BILL OF LADING

NOT NEGOTIABLE UNLESS CONSIGNED "TO ORDER"

5HIPPERIEXPIJA1U (WMPlEl, NAMf AND ADDRESSI

BOOKING '<a

PT. SUMATERAARABIKA GAYO

JL SYIAH UTAMA NO. 115. KAMPUNG MAKMUR SENTOSA,
KEC. BANDAR, KAB . BENER MERIAH,
ACEH, INDONESIA 24 582

"" '''''''''....

~EFET<ENCES

FORWARDING AGENT FMC NO

COOPERATIVE COFFEES, INC

302 W.LAMAR ST. SUITE E
AMERICUS, GA 31709 USA
TEL. +1 -229-924-3035, FAX. +1-229-924-8250
ATTN : BECKY JOHNSTON

TGL OTI NUMBER : 019970NF

APPLlc~nON

'10TIFV (NO Cu"M SHALL ~TTACH FOR ,AIWRE TO NGnrv)

EXCELCO TRADING, L.P

17 BATTERY PLACE, SUITE 1010 NEW YORK, NY 10004
TEL. + 1-212-344-6n1 FAX. + 1-212-344-8723
ATTN: GEORGE TSITSIOS EMAIL ([email protected])

"LA"

PRE CARRIAGE BY

MSC GIORGIA V.HE622R

CMRIE~

Ll Of IADINe; NO

~l"'l

l XPD RT

CONS IGNEE (IF TO ORDE~ SO INDICAnl

EXPO

Il

FOR OElIvERY MUST 8e MADE TO

TRANS GLOBAL LOGISTICS INC

30 KNIGHTSBRIDGE ROAD, SUITE 525
PISCATAWAY NEW JERSEY - 08854
TEL : 732 640 2980
FAX : 7326402982
PIC : MS. SHILNI mail: [email protected]

OF RECflP"r

BELAWAN, INDONESIA
PORT Of OAOINe

\VESSH VOYAGE I

HYUNDA LOYAL1l' V.622W

LOADING

PIE~I1ERMINAI

BELAWAN , INDONESIA
PIACF OF OEI/VERY 5' ON CARRIER

PORT OF DISCHARGF

NEW VORK , USA

TYPE OF MOVf

NEW YORK. USA

CYICY
PART;(ULARS FURN ISHED BY SHIPPER

MARKS 8< NOS / CONTAINER NOS

CONTR NO I SEAL
DFSU2677397 / FEJ7403730

SA ID TO CONTA IN
DESCRIPTION OF PACKAGES AND GOODS

NO. OF PKGS

G. W

SHIPPER'S LOAD, STOW, COUNT, WEIGHT & SEALED

1X20'FCl : 300 BAGS IN 60 KGS NEW SINGLE GUNNY
BAGS + GRAIN PRO
SUMATRAARABICA GAVO GREEN ARABICA SPECIALTY
GRADE QUALITY COFFEE FAIRTRADE & ORGANIC
CERTIFICATE
AS PER CONTRACT SUG1610

300 BAGS

PT. SAG
015/1789/09
SUG1610
FLO 10 : 1341
SUMATRA ARABICA GAYO
GREEN ARABICA SPECIAL1l'
GRADE aUALl1l' COFFEE
FAIR TRADE FLO +
ORGANIC CERTIFIED
"NO HOOKS
10 CU : 831475
FLO ID : 27978
ASKOGO FLO 10: 18213 *)

MEASUREMLN r

GROSS WE IGHT

18300.000 KGS

N.
FDA REG NO. 159159704 68

w. :

18000.000 KGS

*) PROD OF INDONESIA

NETT 60 KGS
NEW YORK
1 - 300

ORI(IN}l

TEMPERATURE CONTROL INSTRUCTlON

EXCESS VALUE DEClARATION:

NO OF ORIGINAL BL's: v

FRE IGHT PAYABLE AT

'~~I

REfER TO CLAUSE 6(3}(B) +I C) ON REVERSE SIDE

PREPAID

FREIGHT & CHARGES

COLLECT

~E-CE I l,.;Eb b~

1 II : arn81 ths GO(.1dt. ar S;)o(H' Itr;: 1 obn...,' In

"1,1 ..>,efll Qood -orOBf and t:;'f\cjlltorL vln11!t1'J Qlr

....

'$

RlillArt Ie

D.lf .. n5~ort.,d fo !lUC~ s:lace aa a~'aetl aul~r:11/1;I1 II cnllrnlllttC

'0111 >tr,J uls~ec l lo aillhe lelmi and t'ot'iJtlrona.apoe,)!ln9 on
I!I" f,onl flnC 'f'\{er~e I)' Inl!. alii ar adtng IO'l,l'l'ch the M{llchllli l
li'lf1lw I.;~ ~ _( (rQ 111 t 801 ll l lA[Jtng,
tel al tlrt .. tteOh unCI
cuato.... notwIHI,t".,dlng Tne' par144:.ttrafl. g Y"6", abov(J 'lit! lit
;\illt&.1 t' 'I 1'1111 """1'1: <..1 "", d .. 'e WB..Qhl. meMure , ~ uarllll'f
comtthOI"l contenllj. "nO "".IUA of!t1e tJ.()Qdl sre mkn()'II 11 10 tn.t!
ClimMI In.\' 10.. "
w~ell'lof (Fl. ; T} Ol i a nlll 8011 01 l.aDII1U 11a"5
Deer. sign ad 11 I'tttl :lth"/wltt ~H.'0(.1 aOOJe the _Bma being
i,- compl'~.L1 ,. It 0Iha(I~1 r "'I'" C bfl JulU , If reqUJ1eott b'f ltoe
camslone 1 t 01 wln-", 8111 or I ,\r1ln~ mIJ"~ he ~ ... rrl3nc18~~d l1uly
tlnda~fiie1 lrl "'J:'-'I,Hl!:1U 11,/ I " t:' (lflOlh. or ","ellfe : ~ Clr df'<

."'Y

FREIGHT PREPAID

SIQ'1rtU 011 betnuf 01

TRANfjLOBA
JURISDI CTION & LAW CLAUSE :

By:
JURISDICTION

Tht' anhaLt 1!'~lae-nu:d by (,)r antalneO In Ih~ alII nf ladlnJ.l. I. sovl'rnp.d by

tn.

her~lJndp.r :I f in c:onoP',tion heft!\vuh s.hall b~ determ ined by lhe Umhd ')cl.Ire<;

lol '.'l of Ufll te.j Stttte" of Amp-rlc :;)nri rlOY dillm 01 dl... tnlt~ allitf'

hdetdl COlJ"t of Ille SOllthr.ofn District of New York and no o\hrr r ourh

ISTIC5INC

TRANSACTION CE RTIFI CATE

USA FO R PRODUCTS FROM NOP ORGANJC PRODUCTION
I Body iss uin g (he ce rtifi ca te (flame: Jnd address )

2 a) The t\ar iona l Orgauic Progra m standards of the United States Department of
Agri cullure/Comro l UnIon Certlficati ons standards

Contro l Union Call1i callOns 8 V,

c b) Reference number of Ih e ce rtifl ca le:

Meeuwenlaan 4-6

PRJ S314 7S!6225 42

SOil BZ ZWOLLE
I\ ET HERLANDS
_" Seller of the product (nam e and

add rc~ ~ )

4. Inspection body'" (name and address)

PTSUMAT ERA ARABIKA GAYO

JI. Syiall Utama no. 1 ! S Kampung Makmur Se nt osa, Kec. Bandar
24582 De ller Menah
Aceh
[NDOI\ ESl t\

Control UnIon C!.:rllfi!.:ations B.V .

S. Producer or proce ssor of th e product' (name and address)

6. Country of di spatch

PT. Sumatera Arabika Gayo

Meeuwe nla an 4-6

ROil BZ ZWOLL E
NETHER LANDS

INDONESIA

Jalan Penahanan No. 61 -B. Desa Pa tumbak , Del i Serdang,

2036 1 \1edan,
Sumalera ulara.
INDOi'<ES IA
7. Consignee (name and address)
COOPERATIVE COFFEES INC

s. Count ry of deSlInalJ On
UN IT ED STATES

]02 W . LAMAR ST.SU IT E E AMERICUS , GA

] 1709

AMER ICUS
9. Add ress and place of desnna lio n

UNITED STA nos

lO. Marks and nUl1l bers. contain er no{s). nllm ha and kin d, Trade name o f th e product.

NOP cert ified

100% organ ic Sumatra Arabica Gayo (SUMATRA ARABICA G.A, YO GR EN
ARABICA SPECIALTY GRADE QUALITY COF FEE rAIRTilADE & ORGANIC
CERTlf lCA TE AS PER CONTRA CT SUG 16 101 packed in PACK ED UNIT IN 60
KGS 300 BAGS

11.
Production

LOI/balch

Gross

Year

number~

(kgs)

2016

In.llS S

19300.00

Gro~~

mas:;

Net mass
(kgs)

IHOOO.OO

I ~30000 kgs

12 . Net ma ss
1800000 kgs

from organic productIon methods.

13. Allcrn,1ti ve units ..

Invoice no .. 016/1NV/SAGNI/20 16 d.d.02-06 16

Transport documenl no .. G lB LW 1600022 d.d.06-06-16
,
COnClIl1Cr no .. DFSU267739-7
Idenllficatlon codes PTSUMA HRA ARABIKA GA YO 0lSfI7S9/09 SUG 16 10 SEAL NO.FEJ7403730 TRANSPORT COMPANY;
RANSGLBAL LOGISTICS INC
14. Declaration o f the body issuing the certi fi cate
15. A dditIOnal decl a ra tion (I f appropnat e)

16. Place and da te of issue

Jakarta . 20 June 20 16.
Name a nd sio-nmuft! of authOrised person

&>o~~~~'

W 7~

Sta mp of the issuing body

Ing D lreclOl

~"\

...

. ()

2!

-~
' C',

~
-

"""""~~.

'-'~QJ""'~
s...~_~

.<'\

" ~\""

4Exp ianalOry notes

Box 4: The inspection and certiricalion body for compliance With the ru k~ s on from organIc product ion methods.

Box 5: The firm \vhich carricd out the last opercllion (processing, packaging , lubdlingl on th e batch.

Box 9: The address of the rinn where the hatch will be delivered, if differcnt fro m the addre'S :-. III box 7.

Box 13: e.g. volum t.: in !l1ctcr.\. to be given, where appropriate, in suppl\!ment to th e decl ara tions in boxes. i I and 12.