Green Coffee Association Inc. I Green Coffee FOB.

C&F, CIF contracts

All parties agree this contract IS subject to the terms and conditions of the Green Coffee Association Inc.
Date: Feb 092012 Contract No: SUG1210
Producer I FLO 10: 6589 Buyer: J FLO 10: 1341
Permata Gayo Coop Cooperative Coffees Inc.
Syiah Utama Street. 302 W. Lamar St
Simpang Utama Village No 61 Americus GA 31709. USA
Bandar Sub-District Tel: 514907 9853
Bener Meriah District, NAD, Indonesia Fax: 229 924 6250
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Quantity Bags: 300 Kg I bag: 60 132
Kg total: 18000,00 Lbs total: 39600,00
Quality Origin: Sumatra Coop: Permala Gayo 'Harvest: 2011-2012
Type: Green arabica specialty quality coffee, Gayo Preparation: European
Moisture Content: 10% -12%
Certification (8): Fair Tade FLO certified and Organic NOP certified
Price To be fixed 30 days before shipping date. Requested by shipper.
minimum guaranteed price of 2.00 $US Ilb.
Inconterm: FOB Belawan, Medan ftl "::!
o
U. at 113.63 on zet Mo..rch 20,2,
Financing Do you request pre-financing for this contract? NO
When do you expect to receive pre-financing?
Which is your preferred solidarity lender?
Pre financing will be provided by a solidarity lender and interest will be charged to the seller
Weight Shipped weights, 112% franchise
Payment Full payment upon first presentation of aU original documents including organic transaction certificate
Insurance To ship covered by seller. From Ship to US port covered by buyer
Shipment Date: Apr, 2012 Port of: Belawan
Destination New York. NY, US
Remarks Pre-shipment sample required. To be drawo
Landed coffee will be approved within 15 days following the date of discharge in buyer's warehouse
This coffee was traded according to Intemational Fair - Trade criteria as established by FLO
OrganiC Certification documents by NOP agency recognized required before payment
Certificate of Origin required before payment
Bags must be marked with Organic, "FLO Fair Trade". and with producers' coop FLO 10
Bags rT1uSI be marked with Producers' coop logos, and Cooperative Coffee logo (if possible) or name
If any, arbitration)n accordance with the rules of arbitration of the Green Coffee Association Inc.
/'
Buyer
Signature:

Name: Florent Gout
Date: Feb 09 2012
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KOPERASI
PERMATA GAYO
Nomor DH: S18/0391BHN/2006
.fln. S)'iah t:lumu No. (,c, h::llnIUlng Siml,ang 1I1:lIlIa. Kecamal:m ..
Kahullalen Bener Meriah. NanJ!grue Aceh Darussalam - 245H2
E-mllil :
COMMERCIAL INVOICE
No: 034/Invl PGCI 201112012
Date. 25.04.2012
Messrs. Cooperative Coffees INC
302 Lamar Street Suite E
Americus, GA 31709, USA
Commodity : Sumatra Permata Gayo Highland Arabica Coffee
Shipped by : Arisara V.1219
From : Belawan, Indonesia to New York,NY
Date of Shipment : 02nd May 2012
BL Number : BL WNYC2D002
DESCRIPTION OF GOODS AMOUNT
300 (Three Hundred) Bags of 60 kgs nett each
Gross Weight : 18.300 Kgs
Tare . 300 Kgs
Nett Weight : 18.000 Kgs =39.682,8
At 7.350 USD I Lbs FOB Belawan
As per contract SUG 1210 usn 132.300,00
(Contract price is Incl. usd.0.20/lb Fairtrade premium; usd 0.30/lb Organic Premium)
Say: One Hundred Thirty Two Thousand Three Hundred US Dollars Only
- Insurance to be covered by buyer - Producer & Exporter FLO ID:
- Freight Collect 6589
- Payment C.A.D - Buyer FLO ID : 1341
Consignee: Cooperative Coffees Inc
302 W. Lamar St. Suite E
Americus, GA 31709, USA
Tel +1 229 924 3035 Fax +1 229 924 6250 Attn: Bill Harris
Connecting Vessel: Cosco Tianjin V.0092W
Containerl Seal: HJCU21150591 HC 148450
Marks & No:
PGC Koperasi Permata Gayo
0151 17301 54
SUG1210
SUMATRA PERMATA GAVO
HIGHLAND ARABICA COFFEE
SEMI-WASHED SUMATRA
GAVO MOUNTAIN GREEN ARABICA
COFFEE DP GRADE 1
FAIR TRADE FLO AND ORGANIC CERTIFIED
COOPERATIVE COFFEES FLO 10: 1341
PGC FLO 10: 6589
PGC CU 10: 812234
NETT: 60 KGS
PROD. OF INDONESIA (Armia)
NEWVORK. NV
1 - 300
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.---- ------------
CTPAT NO. 72545308
OTI LICENSE NO. 17577NF
LJNII'ERSAL SHIPPIN6, INC.
ORIGINAL BILL OF LADING
Shipper (Full NamelAdd....rTellContact Person) Document No. Bill of lading No.
KOPERASI PERMATA GAYO BLWNYC2D002 BLWNYC2D002
JLN.SYlAH UTAMA NO.66 KAMPUNG SIMPANG UTAMA
LlcenHNo. OTIUcenseNo.
KEC.BANDAR KAB.BENER MERIAH. NAD - 24582
17577NF
PoInt MId country of origin of goods
Consignee (Full N.melAdd....rTeIIContact Person) Delw.y Agent (Full NamelAdd....rTellContact Person)
COOPERATIVE COFFEES INC UNIVERSAL SHIPPING. INC.
302 W.LAMAR ST.SUITE E AMERICUS. GA 31709. USA 2855 S. RESERVOIR STREET
iTEL+1 2299243035 FAX+1 2299246250 POMONA, CA, USA 91766
ATTN: BIU HARRIS LOS ANGELES. UNITED STATES, UNITED STATES
TEL:1-909-628-2226 FAX:1-9&628-2221
Notify party (Full NamelAdd....rTeIIContact Person) Also NotIfy Party (Full NamelAdcIressITeIIContact Penon)
EXCELCO TRADING L.P
17 BATTERY PLACE. SUITE 1010 NEW YORK. NY 10004
iTEL.+1-212-344-6n1 FAX.+1-212-344-8723
ATTN: GEORGE TSIASTSIOS (GTSIATSIOS@EXCELTRADE.COM)
....Woyage Pnt-CantIIge By Type of Movement
lARISARA 1219 COSCO TIANJIN 0092W FCL/FCL CY/CY
Place of ReceIpt Port of Loading Port of DIsch8rge Place of Delw.y
BELAWAN, INDONESIA BELAWAN, INDONESIA NEW YORK, NEW YORK NEW YORK, NEW YORK
Date C.rgo Received Date Laden on Board loading PIerIT ...... ,nal OrIginal to be Released at
May 2012 MEDAN
PARTICULARS FURNISHED BY SHIPPER
Container No.. w/Seal No.., QuantIty , , Gross .....urement
Descrtptlon of Packages and Goods
Marks & Numbers Packages
(KGB) " . 1 (CBM)
HJCU2115059 / HC148450 / 20' GP / 300 BG(S) / 18300.000 KG(S) / 0.000 CBM / FCL/FCL CY/CY
PGC 300 BG 1X20'FCL CONTAINER: 18300.000 0.000
015/1730/52 300 BAGS OF 60 KGS NETT EACH
SUG1210 SUMATRA PERMATA GAYO HIGHLAND ARABICA
SUMATRA PERMATA GAYO COFFEE SEMI-WASHED SUMATRA GAYO MOUNTAIN
HIGHLAND ARABICA GREEN ARABICA COFFEE DP GRADE 1 FAIR TRADE
COFFEE FLO AND ORGANIC CERTIFIED
SEMI-WASHED SUMATRA FDA NO : 1309 6723 740
GAYO MOUNTAIN GREEN
ARABICA COFFEE DP NET WEIGHT : 18000.000 KGS
GRADE 1
FAIR TRADE FLO AND
ORGANIC CERTIFIED
COOPERATIVE COFFEES
FLO ID: 1341
PGC FLO ID: 6589
PGC CU 10: 812234
Temperature ControilnstnictIons:
'Excess Value Declaration
Freight Rate & Charges f!.-." .... -."................... - _ ... ......., II WITNESS
...c.n:-..::....... ,OrIgIMI ...." .......... .".... _ ....
DescrIption Unit
Ca.-'llnlt Exch.Rate AmountfPIC)

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Date
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2012
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CTPAT NO. 72545308
OTI LICENSE NO. 17577NF
UNIVERSAL SHIPPING, INC.
ORIGINAL BILL OF LADING
PARTICULARS FURNISHED BY SHIPPER
Quantity
Container No . w/Sul No.1
Packages
I DescrfptIon of Packages and Goods I
Gross welghtj IIeaunment
Mara & Numbers I
(KGs) I (CBM)
NETT: 60 KGS
PROD. OF INDONESIA
NEW YORK, NY
1 - 300
GRAND TOTAL: 300 BG(S) THREE HUNDRED BAG(S) ONLY 18300.000 0.000
FREIGHT COLLECT
TRA!'ISACTION CERTIFICATE
USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION
I. Body issuing the certificate (name and address) 2. The National Organic Program standards of the United States Department of
AgriculturelControl Union Certifications standards
Control Union certifications B.V.
Reference number of the certificate: PRJ 8122341231669
Meeuwen laan 4-6
8011 BZ ZWOLLE
NETHERLANDS
3. Seller of the product (name and address) 4. Inspection body' (narne and address)
Koperasi Pennata Gayo Control Union certifications B.V.
JI. Syiah Utama. ,,"0. 66 Kampung Simpang Utama. Pondok Barn. Kab. Bener Meeuwen laan 4-6
MeriahAceh T engah 8011 BZ ZWOLLE
Nanggrae Aceh Darussalam NETHERLANDS
INDONESIA
5. Producer or processor of the product' (name and address) 6. Country of dispatch
INDONESIA
KopernsiPerrnamGayo(Export)
JI. Kongsi No. 278 Mariendal, Medan
Sumatern Utara
INDONESIA
7. Consignee (name and address) 8. Country of destination
UNITED STATES
C ooperntive Coffees Inc.
302 Lamar Street Suite E
GA 31709 Americus
9. Address and place of destination'
UNITED STATES
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 (100% organic 1organic)
Year numbers (kgs) (kgs) 18300.00 kgs
100% organic Sumatra Permata Gayo Highland Arabica Coffee (Semi Washed
Sumatra Gayo Mountain Green Arabica Coffee Grade-I FLO Fairtrade and Organic 2012 18300.00 18000.00 12. Net mass
Certified Prod of Indonesia) packed in Units in 60 kg. in 300 Bags
18000.00 kgs
from organic production methods.
Invoice no.: 034,lNVIPGC/2011/2012 d.d.25-04-12
13. Alternative units'
Transport document no.: BL WNYC2D002 d.d. 02-05-12
Container no.: H1CU211505-9
Identification codes: Permata Gayo Cooperative Identification number:O 1511730/52 SUG 1210 Seal Number: HC148450 Shipping
ompany : Universal Shipping Inc
14. Declaration ofthe body issuing the certificate
15. Addition.1 if appropriate)

..
16. Place an date . Stamp ofill. isSoma jJody.
Jaf1p03 May 2012 ,
4,-0.
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Name all< .Tgi(. turc c a., ori.. person
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lIlagiq

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Yo. Winaryo .........
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'Explanatory notes J
Box 4: The inspection and certifi tion body for compliance witb the rules on from organic production methods ..
Box 5: The firm wbich carried ou tbe last operation (processing. packaging. labelling) on the balch,
Box 9: The address oftbe finn whhe 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 II and 12.
1 of 1
CONTROL UNION CERTIFICATIONS