--- 300

Closed at $2.58 on February 8, 2017

- N/A
 KOPERASI SERBA USAHA

PERMATA GAYO
SADAN HUKUM :No.518,039/BH/111/2006
Jalan :SyiahUtama No.66 SimpangUtamaBenerMeriah
ACEH - INDONESIA
KOPERASI INDONESIA PERMATA GAYO COOP

COOPERATIVE COFFEES, INC 031/INV/PGC/2016/2017

302 W, Lamar St. Suite E. Americus, GA 31709 USA
Tel. +1-229-924-3035, Fax.+1-229-924-6250 FLO ID 6589 Contract No.
Attn: Becky Johnston FLO ID buyer: 1341 SUG176
FDA REG N0.13096723740
Shipped by: B/LNumber:
MERATUS MEDAN 5 V.1712 959416079 DD.07/02/2017
From: To:
BELAWAN, INDONESIA NEWARK, NJ - USA
Consignee: Container/Seal No:
TO THE ORDER OF COOPERATIVE COFFEES INC MSKU3767326 / ML-ID2206846
302 W, Lamar St. Suite E. Americus, GA 31709 USA Connecting Vessel:
Tel. +1-229-924-3035, Fax.+1-229-924-6250 MAERSK SANA V.705W
Attn: Beck Johnston

300 (THREE HUNDRED ) BAGS

OF 60 KGS NET EACH BAG
SUMATRA PERMATA GAYO HIGHLAND
ARABICA DP GRADE 1 GREEN COFFEE
FLO FAIRTRADE & ORGANIC CERTIFIED

Gross Weight 18,300Kgs

Nett Weight 18,000Kgs

Price : US$. 4,585.59/Mtons US$. 82,540.62

Organic Premium : US$. 661.38/Mtons US$. 11,904.84
FairtradePremiun :US$. 440.92/Mtons US$. 7,936.56
Price total : US$. 5,687.89/Mtons ------FOB US$. 102,382.02

FOB BELAWAN, NSW as per contract no.SUG176

Say :One hundred ttwo thousand three hundred eighty two and Cents zero 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.
015/1730/3 I
17 BATIERY PLACE, SUITE 1010
SUG 176
FLO ID : 1341 NEW YORK,NY 10004
SUMATRA GAYO MOUNTAIN TEL.+ 1-212-344-6771,FAX. + 1-212-344-8723
GREEN ARABICA COFFEE DP GRADE 1 ATIN: GEORGE TSIATSIOS
FAIR TRADE FLO+ ORGANIC CERTIFIED (GTSIATSIOS@EXCELTRADE.COM)
lD cu : 812234
FLO ID : 6589
PROD OF INDONESIA
NETT60 KGS
NEWARK, NJ
1-300
 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 certificate: PRJ 812234/727583
8011 BZ ZWOLLE
NETHERLANDS
3. Seller of the product (name and address) 4. Inspection body* (name and address)
Koperasi Pennata Gayo Control Union Certifications 8.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 product* (name and address) 6. Country of dispatch
Koperasi Permata Gayo (Bromo Uju n g) INDONESIA
JI. Bromo Ujung, Gang lkhlas No. 2Medan
Sumatera Utara
IN DONES IA
7 . Co nsignee (name a nd address) 8. Country of destination
UN ITED STATES OF AMERICA
Cooperative Coffees In c.
302 Lamar Street Suite E
GA 3 I 709 Americus
9. Address and place of destination*
UNITED ST A TES OF AMERICA
10. 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

100% organic Sumatra Permata Gayo Highland Arabica Coffee (SUMATRA

PERMATA GAYO HI GHLAND ARAB ICA DP GRADE I GREEN COFFEE FLO 12. Net mass
2017 18300.00 18000.00
FAIR TRADE & ORGAN IC CERTIFI ED) packed in PACKED UNIT 60 KGS IN 18000.00 kgs
300 BAGS

from organic production methods. 13. Alternative units

In voice no.: 031 /INV/PGC/2016/2017 d.d. 03-02-17
Transport document no.: 959416079 d.d. 07-02-17
Container no.: MSKU376732-6
Iden tification codes: PERMATA GAYO COOPERATIVE 015/1730/31 SUG-176, SEAL NO.ML-ID 2206846. SHIPPING COMPANY.
MAERS K LINE

14. Declaration of the body issuing the certificate

15. Additional declaration (if appropriate)

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

~
16. Place and date of issue Jakarta. IO February_2017 Stamp of the issuing body

d, 4~"' "''~"
Name and signature of authorised person

~ . (Winaryo)

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~ u- ~
~~tr,hUnr.N
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*Explanatory notes
Box 4: The inspection and certification body for compliance with the rules on from organic production methods ..
Box 5: The finn which carried out the last 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 appropriate, in supplement to the declarations in boxes 11 and 12.