SpociahyCofi.e As6oci.

tion of America
Gr€enCoff€eFOB.C a F.CIFConhact
All panis epEsent lhat lheyaE tumiliarwilhlhe prdisions, tems andconditionsof
th. @nlacls ol lhe SCAAin ef,tct at flre dal€he€of

simpang(rkna MttageNo61
BenerMedahDisticl,Ac€h,indonesia

Thre HundEd(320)B6gsof50 KilogEre NetEach.

appoimaiery 19,200Kilog€msor 42324 lbs N€rweioh.
SumtE GayoMouilain P€mslo G.yo C@pCedfed Fair
T€de Org6nicGEde 1 Semi,Washed Geen AEbi@

To befxed byselle/s €11beto€ li6l openinOduryof June

2010.NY'C'ContactseD2010+ 0.10FaLTEdeDremium
+ 0.20OEanicpeniun + 0.25Ouality = NY'C' S.p 2010
a 0.55IUS p€r lb or Mlnlmomguarantood 1,70tUS por
tb.
4, WeighrBsis: St 'pp.dWeohlsr % weighlfiErchEo
Netcsh agahst dodde.ls.
To ship,@w@dby selle. Fbm ship to NewYoft, a@uit

June/Jury,
2010,F@n seaponot Belawan,lndon..ia
3. Ddtination: N€wYo* NY
1. Thie@fte Ms tradedd@d ngro inlemarionaFar
TEd€ ciieda as eslablishedbv FLOand€dif€d bv
2. ArbilidlionFnendly,Calilom'Eifany
3. An oeanic lEn*clion cenii@t\twill be i$ued.
4 Pcshipnent sanple approvdlEquied,
5. B.gs Ma*ed: Fair'rEde Cotr@I Orc.nicI Pamata
GaYoCoop/ C@F€ElivBCofies
6. A documedshowing% of FoB pnm p.id io fE @p and
% of FOa pice paidto the fameE is rcquned.
7 EueryYer CoopeElve Coiee will v eirrhecooplo
h*k wharis rhe% ol p3e paidlo lhetam

U Lt" ',
 KOPERASI

PERMATA GAYO

Nomor 8H : 518/039/BHIV/2006

.lIn. S)'iah (llama No. M) KlllllllUlig Simpang (llama. K('camatan Handar

Kabullaten Bcner Ml"'iah. Nanggrnl' Aceh Ilaruss~llam - 24::;82

E-mail: pnmatagayo_cooll(al.yahoo.co.id

COMMERCIAL INVOICE
No: 096IInvl PGC/2010
Date. 04.06.2010
Messrs. Cooperative Coffees INC
302 Lamar Street Suite E
Americus, GA 31709, USA
Commodity : Sumatra Pennata Gayo Highland Arabica Coffee
Shipped by : MV. BhatraBhum V.761S
From : Belawan, Indonesia to New York
Date of Shipment : 19th June 2010
BL Number : BLWNYC060147
DESCRIPTION OF GOODS AMOUNT
320 (Three Hundred Twenty) Bags of 60 kgs nett each
Gross Weight : 19.520 Kgs
Tare . 320 Kgs
Nett Weight : 19.200 Kgs = 42.328,32

At USD1.941 Lbs FOB Belawan

As per contract SUG 104 USD 82.116,94
(Contrac price is Incl. usd.l0,-/tOOLbs Fairtrade premium)

Say: Eighty Two 11wusand One Hundred and Sixteen point Ninety Four
US Dollars Only
- Insurance to be covered by buyer - Producer & Exporter FLO ID:
- Freight Collect 6589
- Payment C.A.D - Buyer FLO ID : 134 t
Consignee: Cooperative Coffees Inc
302 Lamar Street Suite E
Americus GA 3 t 709, USA
Tel: +1 229 924 3035
Fax: +1 229 924 6250
i Connecting Vessel: Vietnam Express V.22E24
I Container! Seal: NYKU32860311 ID6756758
Marks & No:
PGC
015/1730/90
C. SUGI04
SUMATRA PERMATA GAYO HIGHLAND ARABICA COFFEE
SEMI-WASHED SUMATRA GAYO MOUNTAIN GREEN
ARABICA COFFEE DP GRADE 1
FLO FAIRTRADE AND ORGANIC CERTIFIED
COOPERATIVE COFFEES FLO 10: 1341
PGC FLO 10: 6589
CU 10: 812234
NETT: 60 KGS (Annia)
PRODUCT OF INDONESIA
NEWYORK,NY
1-320
 LlSI
SU~N~'~VE~R~SAL SHIPPING. INC. CTPAT NO. 72545308 OTIIJCENSE NO. 17577NF
BILL OF LADING
SHIPPER/EXPORTER NT NO BILL OF LADING NO
BLWNYC060147
KOPERASI PERMATA GA YO I-::-::O::-:M=ES:::T:::IC:-:R:::O:-:-U::::TI::-:NG=/=EX:::P:::O=RT~IN:::ST::R::-:U=CT=lO:::N-:---1_ _ _ _ _ _ _ _ _ _ _ _ _ __
JLN.5YIAH UTAMA NO.66 KAMPUNG SIMPANG UTAM ,
KECAMATAN BANDAR KABUPATEN BENER
MERIAH, NANGGROE ACEH DARUSSALAM -24582
CONSIGNEE 'EXPORT REFERENCES
COOPERATIVE COFFEES INC
302 W.LAMAR ST. SUITE E. FOR CARGO DELIVERY PLEASE CONTACT'
AMERICUS, GA 31709. USA
PHONE: +1-229-924-3035 FAX: +1-229-924-6250 UNIVERSAL SHIPPING ., INC
A1TN : BILL HARRIS 2855 SOUTH RESERVOIR STREET,
NOTIFY PARTY
POMONA, CA 91766
EXCELCO TRADING L.P. TEL: (909) 628-2226 FAX: (909) 628-2221
17 BATTERY PLACE, SUITE 1010
NEW YORK, NY 10004
FORWARDING AGENT REFERENCES,
PHONE: +1-212-344-6771 FAX:+1-212-344-8723
ATTN: GEORGE TSIASTSIOS (gtsiatsios@exceltrade.com)
'PRECARRIAGE BY: 'PLACE OF RECEIPT:

BHATRA BHUM V.761S BELAWAN, INDONESIA CY

EXPORTING CARRIER PORT OF LOADING: ON CARRIAGE BY: NO, OF BILLS OF LADING'
VIETNAM EXPRESS V.22E24 BELAWAN, INDONESIA CY

PORT OF DISCHARGE PLACE OF DELIVERY: FINAL DESTINATION 3(THREE)

NEW YORK NEW YORK

PARTICULARS FURNISHED BV SHIPPER

MARKS AND NUMBERS NO, OF PKGS. DESCRIPTION OF PACKAGES AND GOODS GROSS WEIGHT MEASUREMENT

CONTAINER I SEAL SHIPPER'S LOAD, STOW WEIGHT AND COUNT

NYKU3286031 11067 6758 1 X 20'STD CONTAINER: GW: 19,520.00 K( S
320 BAGS OF 60 KGS NETT EACH NW: 19,200.00 K( S
SUMATRA PERMATAGAYO HIGHLAND
ARABICA COFFEE SEMI-WASHED SUMATRA GAVO
MOUNTAIN GREEN ARABICA COFFEE DP GRADE 1
FLO FAIRTRADE AND ORGANIC CERTIFIED

CY/CY FDA NO : 1309 6723 740

i
TOTAL NUMBER OF CONTAINERS OR
PACKAGED (IN WORLD)
----
ONE UNIT TWENTY CONTAINER ONLY
RECEIVED by the Carrier the Goods as specified above in apparent good order and condition
FREIGHT CHARGES PREPAID COLLECT
unless otherwise stated, to be transported to such place as agreed, authorized or permitted hereon
and subject to aU the terms and condnions appearing on the front and reverse of this Bill of Lading
to which the merchant agrees by accepting this Bill of Lading, any local privileges and customs
notwithstanding.

The particulars, given above as stated by the shipper and the weight, measure, quantity condition, FREIGHT COLLECT
contents and value of the Goods are unknown to the Carrier.

In WITNESS whereof one (1) original Bill of lading has been signed H not otherwise stated above
the same being accomplished the other H any to be void H required by the Carrier one (1) Original
Bill of lading must be surrendered duly endorsed in exchange for the goods of delivery order,

Place and date of issue ----I\j~.J.IiIi~..A.J.PI<~~~~'f---­

FIRST ORU,~INAL
_~~"""",," __
"'J:-"'~.-."':
"~~i

signed on behalf of the Carrier:

EXCESS VALUE CHARGE

TOTAL CHARGES
ATTACHMENT FOR B/L NO.BLWNYC060147

MARKS & NUMBER: PGC

015/1730/90
C. SUG104
SUMATRA PERMATA GAYO HIGHLAND ARABICA COFFEE
SEMI-WASHED SUMATRA GAYO MOUNTAIN GREEN
ARABICA COFFEE DP GRADE 1
FLO FAIRTRADE AND ORGANIC CERTIFIED
COOPERATIVE COFFEES FLO ID:1341
PGC FLO ID:6589
CU ID:812234
NETT: 60 KGS
PRODUCT OF INDONESIA
NEW YORK. NY
1 - 320

***************************************** END OF BILL OF LADING *******************************************

 TRANSACTION CERTIFICATE

USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION

I. Body issuing !be certificate (name and address) 2.The National Organic Program llIaDdanIs of!be Uniled Slates Depmment of
ConttoI Unioll certifications B.V. ~ Union CertiIications SIaDdards

MeeuwenJaan 4-6 Reftmmce numIlc:rof!be certificaJ.e: PIU 8122341122916

8011 BZ ZWOLLE
NE1HERLANDS
3. Sellflr of!be product (name and address) 4. Inspection body" (name IIlId address)
Koperasi Pennata Gayo CoolroI UuioIl certificalions B.V.
Jl Syiah Utama. No. 66 Kampung Simpang Utama. I'ondot; Bam, Kab. Bener ~eotun4-6
Men.bA\:dl Tengah 8011 BZ ZWOLLE
Nanggroe A\:dl Darussalam NETHI!RLANDS
INDONESIA
5. Producer or processor of the product- (name and address) 6. Country ofdispak:b
Koperasi Pennata Gayo (Export) INDONESIA
n. Koogsi No. 278 Marienda1, Medlin
Sumatera Ulam
INDONESIA
7. Consignee (name and address) 8. Country of de8tiDalion
UNITED STATES
Cooperative 0:Iffi:es IDe.
302 Lamar Street Suite E
GA31709 Americus
9. Address and plac::e of de8tiDalion.
VNITED STATES
10. Marts IIlId numbers. container 00(8). t1UIIlber IIlId ldnd Trade name of!be product. II. Gross mass
Production LotIbat<:h Gross II1IIS8 Net mass
NOP certified (100% orpnic lorpnic)
Yetrr DIIIIlOOrs (kgs) (kgs) 19520.00 tgs

100% OIpIIie Sumatra Pennata Gayo HiahJaod Arabica CoIfee (SEMI-WASHED

SUMATRA GAYO MOUNTAIN GREEN ARABICA COFFEE DPGRADE I) 2010 - 19520.00 19200.00 12. Net mass
packed in units of 60 tgs in 320 bags 192oo.ootgs
&om orpple productioI1 JnCIbods.
IDvoicoDO.: O96.1nvlPGCl2OlO d.d. ~IO 13. Altr;mative units"
Transport~lIO.: BLWNYC060147 d.d. 19-06-10
COIlIaiDe:r 110.: NYKU328603-1
IdentifIcatioD eodes: 01511730190 C.SOOI04, Transport Compmy : UnivenIiaI Shipping lDe., Seal No: 1D67S67S8

14. De4:1aration of!be body issuing !be certificaJ.e

IS. Additional cIcdamtion (ifappropriate)

NodfY Party : Exeek:o TnIIIinI LoP.

-Jdate.J!...isaue 11~ 22 June 2010

~
16. PIac::e s-, "'die issuing bOiJy

~'"IDI~/(
W.

·~DOIcS
W~
Winaryo I
I
'7~'
-
..' f l

Boll 4; The inapeetion and certifi<:ation body fur complisnce with !be mIes on from organie pmduetion meIbods...

.. ,c.c

,.,.­
.
~£', . ~~*"
-
Corftol~~.

s....~af#q'oAn
.. Ut'IIlIIId

Boll 5: The firm wblcb carried out !be last opeAIion (proeessing, pacbgiDg, 1ebcUing) on !be baIdt.

Boll 9: The IIIIdress of tile firm where !be batch will be delivered. ifdift\!rent &om !be address in bolt 1.

Boll 13: e.g. volume in IQe!IaS, to be given. where lIppIopJiate, in supplement to tile dcelsrations in boxes II IIlId 12.

1 of 1
CONTROL UNION CERTIFICATIONS