Closed at $2.

22 on 12 September 2013
KOPERASI
PERMATA GAYO
Nomor BB : 5181 039 1BB 1V 12006
J1n. Syiah Utama No.66 Kampung Simpang Utama, Kecamatan Dandar
Kabupaten Bener Meriah, Aceh - 24582 - Indonesia
Email: [email protected]
Container/Seal No: Consignee:
MRKU9303017 I ML-ID1421917 TO THE ORDER OF COOPERATIVE COFFEES INC
TEL. + 1-212-344-6771,FAX. + 1-212-344-8723
./;1> ..p...it+".: PER.MATA GAYO

i"'1; :1' ... 11 -". 1 .
c' i 1 i
'f/"/ ! /.
'vJ'.. ..'1'....
:r}c!I\' . ' ..
l lr
,v
Ir.Armia
-
COFFEES, INC
302 W, Lamar St. Suite E. Americus, GA 31709 USA
SUMATRA PERMATA GAYO HIGHLAND
ARABICA DP GRADE 1 GREEN COFFEE
FLO FAIRTRADE & ORGANIC CERTIFI
Gross Weight
Tare
Nett Weight
Price : US$.
Organic Premium : US$.
Fairtrade Premiun :
Price total
- Insurance to be COy
- Freight Collect
- Payment C.A.D
- "This cargolcoffee has no entry by any count ..
Narks & NotifyParty:
PGC EXCELCO TRADING L.P.
302 W, Lamar St. Suite E. Americus, GA 31709 USA
Connecting Vessel:
Tel. +1-229-924-3035, Fax. +1-229-924-6250
ANNA MAERSK V.909S
Attn: Chelsea Carter
Description ofGoods
300 (three hundred) Bags of 60 Kgs Net Each Bag
015/1730/95
17 BATIERY PLACE, SUITE 1010
NEW YORK,NY 10004
SUG 139
FLO ID: 1341
ATTN: GEORGE TSIASTSIOS
SUMATRA GAYO MOUNTAIN
(GTSIATSIOS@EXCELm;Jf.COMn
GREEN ARABICA COFFEE DP GRADE 1
FAIRTRADE FLO + ORGANIC CERTIFIED
ID CU: 812234
FLO ID: 6589
li:X:;
PROD OF INDONESIA
NETT 60 KGS
NEWARK,NJ
1-300
FLO ID 6589
Tel.+1-229-924-3035, Fax.+1-229-924-6250
FLO ID buyer: 1341
Attn: Chelsea Carter
FDA REG ............An
Shippedby: B/LNumber:
602874072 00.17 I ..... 1 I ..
ARISARA V.137S
From: To:
NEWARK, NJ BELAWAN, INDONESIA
Contract No.
SUG139
US$. 68,254.38
US$. 111904.84
US$. 7,936.56
US$. 88,095.78
I
MAERSK LINE

JL.SYIAH UTAMA NO.66 KAMPUNG
SIMPANG
UTANA KECBANDAR KABBENER MERIAH
,ACEH-24582 INDONESIA
only If conslQned "to order", 'lo of' CI or order Or bearer'j
TO THE ORDER OF COOPERATIVE COFFEES
INC. 302 W. LAMAR ST SUITE E
AMERICUS GA 31709 USA
TEL. + 1-229-924-3035,FAX. +1-229-924-6
250 ATTN;CHELSEA CARTER. FLO ID;1341
ves"se! 1 + 19) I Voyage No.
ARISARA 1375
I
i
------------t!;O;PI-.,-.-o':-:De-::-:-hY-.-"I-.A:--pp--;-h-,-.-:-b-:-'.-o--;nly-w-heC-n-;doc-ume-nC"t-u.-edC".-s"'MC"u-:CltiC"m-odC".CC,T::Cr-.n-s-po"Crt-=SCCIL-.C"(.-ee-,-'-'.-use---=I-:-)-------- Port of
flELAWAN,INDONESIA j NEWARK NJ,United States
PARTICULARS FURNISHED BY SHIPPER
KII"1(l of Packages, of good'); Marks and Numbers; Contall1er No./Seal No,
1 Container Said to Contain 300 BAG
Weight
18300 KGS
Measurement
25 CBM
SH1PPER PROVIDED 0901110000 (HS)
300 BAGS OF 60 KGS NET EACH BAG
SUMATRA PERMATA GAYO HIGH LIND ARABICA DP GRADE 1 GREEN COFFEE FLO
FAIRTRADE & ORGANIC CERTIFIED
i BILL OF LADING FOR OCEAN TRANSPORT IsCAc MAEU
i OR MUL TIMODAL TRANSPORT
i
l
]B/LNO_ 602874072
_____L ______--I
532992
I
I
Pilrt of as defined in and risk of Merchant)
i
-; Notify PartY (see clau,11) ----------------- -----
I EXCELCO TRADING L.P.
117 BATIERY PLACE,SUITE 1010
'I NEW YORK, NY 10004
TEL. +1-212-344-6771
I
FAX+1-212-344-8723.ATTN.GEORGE
TSIASTSIOS ([email protected]
Place of Rec::eipt. Applicable only when aocument used as Muitimodal TT'=.=ns=po:c:rt"B"'I'L.'-(see=-:O".=u=se=-I")-------l
!
'
i
NET WEIGHT = 18,000 KGS
FDA REG NO 13096723 740
PGC
015/1730/95
SUG139
FLO ID: 1341
SUMATRA GAYO MOUNTAIN
GREEN ARABICA COFFEE DP GRADE 1
FAIR TRADE FLO + ORGANIC CERTIFIED
ID CU:812234
FLO ID:6589
PROD OF INDONESIA
NETT 60 KGS
NEWARK,NJ
1-300
Above particulars as declareQ by Shipper, but Without responsibility of or by Carrier (see clai.lse 14)
Rat. Unit Currency Prepaid COiled
I
clause 1 TOtal-nUmber--+
of contalf'lers or packages received by Carner I M d
e a n
1 conta in e r
- I
I. I
J I ,
- as fat" by me'lrIs of 10 apparefll: good order and herem the totil
roIjmbe"r Dr QUaOtlty of Containers Dr p<K:kag&5 '" un,t;\; In lt1e encltlod -CarneYs Rect!:lpC for Cllmagl: frOlT the flart mL.oaQln9 (or
thIi' of RKelpt, If menl:lonoo above) to the Port of DIsd"lilTlJe (Dr the PloKe of [)ejIVery If rnentioneQ SUCll carllagl'. 0e1fl9. alWII)'$ s;JVJoo to
:
f
&-Sequence ofOr-tg;na"I"B(S)/L - - rOate-or Issue of BfL---- -------- ;F :
! 2013-09-18 I&nd Without surrender of an onl)lnal 001 of lading. Where thi! of ladlfl9 IS neootJ/ibk:!, tt\2: Ml!rt:ham: 15 obliged to surrender one 'Ongma/,
I duly endorsed, I!") .excllan'}e for the Goods. The Carnl!r <JCCl!pts a duty of reasc!")allil! caFe to check that any SlJd1 document wtw:h the Merchant
3/THREE j u it at IOld'i"19 1$ -gl!!")wne and ongmal. If the Carrier C\;lmplies with thiS duty, Jt win be entitled t\;l QeilVer the. Go!x!S iIgiIU"l:it what It
re;l5Of"l0ibly belie\'65 to be a gelkilOe .and orlljjlnal bill Of liidiPo\il, sudl delivery dlschaJVing lt1e Carnet"'s OeIlVery obll9if1;1Ofl$, In ilceepting this bill or
(soc Shipped on 80"0 Date ( Local Time) ladlfl9., arw klcal a$Oms or pnvde9(!S to ttlf! wntrcyv notwIthstoondlPo\il, the Men:ho1nt agrees to be bOund by .l1li TeHn$ itod CanditlOllS stated hef"em
Iwhether \WItten, pMntEd, stamped or InCol'pOl"lIted on the face or reverse lliOe hereof, as. fully 11$ if they wore aU signed by the
2013-09-17
I == ongmal Bills of stated 00 tflts side have been slone<! and whetev21"" Oile Ilri9mal BIll of L1ding has been
!
Signed for the carrier A,P. - Mcersk A/S trading as Maersk Une
As Agent(s} ror the Carner
ThiS transport document has one or more numbered pages
B/L: 602874072 Page: 2
/
MAERSK LINE
MRKU9303017 ML-ID1421917 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 correctness - as per clause 14.2 hereof
CY/CY
Fre.!ght & Charge5 Rate Currency Collect
!
TRANSACTION CERTIFICATE
USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION
1. Body issuing the certificate (name' and address)
Control Union certifications B.V.
2.The National Organic Program standards of the United States Department of
Agriculture/Contro] Union Certifications st311dards
!v1eeuwenlaan 46
Reference number of the certificate: PRJ 8122341324307
8011 BZ ZWOLLE
NETHERLANDS
3. Seller of the prnduct (name and address)
Kopcrasi Pcrmata Gayo
J1. Syiab Urama, \[0. 66 Kampung Simpang Umma. Pondok Baru, Kab. Bt'ncr
!v1eriahAcch Tengah
Nanggroe Aceh Darussalam
INDONESIA
5, Producer or processor of the product' (name and address)
Koperas! Permata Gayo (Export)
J1. Kongs! No, 278 Mariendal, Medan
Sumatera Urara
INDONESIA
7. Consignee (name and address}
Cooperative Coffees Inc.
302 Lamar Street Suite E
GA 31709 Americus
UNITED STATES
10. !v1arks afld numbers. container no(s). number and klnd. Trade name of the product.
NOP certified
4. inspection body' (name and "ddre.,")
Control UnIon B.v.
46 .
801! BZ ZWOLLE
NETHERLANDS
6. Country of dispatch
INDONESIA
8. Country of destinatioll
UNITED STATES
9. Acldrcs...; and place of d'('srination*
Production
Year
Lot/hatch
numtX'rs
Gross mass Net mass
(kgs) (kgs)
1 L Gross mass
18300.00 kgs
100% organic Sumatra Permata Gaya Highland Arabica Coffee (SUMATRA
PERMATA GAYO HIGHLAND ARABICA DP GRADE I GREE;\; COFFEE FLO
FAJRTRADE & ORGAK]C CERTIFIED) packed in trnits of 60 Kgs in 300 Bags
2013 18300.00 18000,00 12. Net rna"
from organiC production methods,
Invoice no.: 095!INVIPGC!201212013 d,d. 130913
Transport document no.: 602874072 d,d,17.Q9,13
Container 110,: MRKU93030 17
IdentifiCation codes: PERMATA GAYO COOPERATIVE 01511 nO/95 SUG 139 SEAL NO.MLlD1421917
RANSPORT CO,\1PANY : MAERs]{ LIKE
Selaran, 19 September 2013
person
18000.00 kgs
13. Alternative units'
(u;;\

Explanatory not"
Box 4: The inspect! nand ccrtili tion body for compliance with the rules on from organic production methods"
Box5: finn which canied ou the last operation (processing, packaging. labelling) on the batch.
Box 9: The address of the finn w 're the batch will be delivered, if dim,c", from the address in box 7.
Box 13: e.g. volume in moters. to c given, where appropriate, in supplement to the declarations in boxes II and 12.
CONTROL UNION CERTIFICATIONS