SUG156

Closed at $2.
59 on 27 March 2015
PT. SUMATERA ARABIKA GAVO
Office:
WarehoDse/Processing Unit A:
JaJan Syiah Utama, No.1 15,

Simpang Meluem, Desa Godang,
Kampung Makmur Sentosa, Kec. Bandar,
Kec. Bukit, Kab. Bener Meriah
Kab. Bener Meriah, Aceh, Indonesia. 24582 Aceh, Indonesia. 24582
Email: sag.coiTee@gmaiI.com
Warehouse/Proeessing Unit B:
Jalan Pertahanan, No.61-B, Desa
Patumbak, Deli Serdang, Medan,
Indonesia.
Phone/Fax: +62-61(787326517873267)
COMMERCIAL INVOICE
Date: April 09, 2015
No. : 004IINV/SAGIIV/2015
Messrs.
COOPERATIVE COFFEES, INC

302 W, Lamar St. Suite E. Americus, GA 31709 USA
Tel.+ 1-229-924-3035, Fax.+ 1-229-924-6250
Attn: Chelsea Carter. FLO ID 1341
Tiger Bridge V. HE515R
Belawan - Indonesia
Shipped by
From
Destination
New York, NY - USA
FDA RegNo.
159 15970468
BLNo.
GIBLW1500013
DD. 12/04/2015
J
..........................
- ....
~~
DESCRIPTION OF GOODS
300 Bags in 60 Kgs New Single Gunny Bag + Grain Pro
SUMATRA ARABICA GA YO GREEN ARABICA SPECIALTY GRADE .
QUALITY COFFEE FAIRTRADE & ORGANIC CERTIFICATE
AMOUNT
ASPERCONTRACTSUGl~
Gross Weight
: 18,300 Kgs
Tare
300 Kgs
Nett Weight
18,000 Kgs
Price
: US$. 4,597.70IMtons
Organic Premium: US$.
661.38lMtons
Fairtrade Premiun : US$, 440.92IMtons
Price total
: US$. 5,700.00IMtons -----FOB
Freight Prepaid
C&F
Grain Pro price and other cost for 300 Pi..eces
Total Invoice
C&F NEW YORK, NSWas per contract no.SUG 156
Say : One Hundred Seven Thousand and Three Hwrdred Fifty US I)ollars Only.
Insurance to be covered by buyer
-
US$.
US$.
US$.
US$.
US$.
US$.
US$.
US$.
82,758.60
11,904.84
7,936.56
102,600.00
3,850.00
106,450.00
900.00
107,350.00
Freight Prepaid
Payment C.AD
"This cargo/coffee has not been refusedeotI( by any country"
Marks & Nos:

PT. SAG
015/1789/06
SUGI56
FLOID:I341
SUMATRA ARABICA GAYO
GREEN QUALITY SPECIALTY
GRADE QUALITY COFFEE
FAIR TRADE FLO + ORGANIC CERlIlFIED
"NO HOOKS"
ID CU :831475
FLO ID :27978
ASKOGO FLO ID :18213
PROD OF INDONESIA
NETI'60KGS
NEW YORK
1-300
CONT & SEAL NO.
Consignee:
COOPERATlVE COFFEES INC
302 W.Larnar St.,Suite E Americus, GA 31709 USA
Tel: +1-229-924-3035, Fax:+l-229-924-6250
Notify :
EXCELCO TRADING L.P.
17 Battery Place, Suite 10 to New York, NY 10004
Tel: +1-212-344-6771, Fax:+l-212-344-8723

Attn: Amedeus Ehrhardt. E-mail (Aehrhardt@exceltrade)
MEDU6056484 &: FEJ4464955
Please pay our Invoice to Bank address below:
PT.SUMATERA ARABlKA GAYO, Account NO.021S041342 (USD)
at PT.Bank Negara Indonesia (Persero) TBkUSU Medan Branch
Swift Code:BNINIDJAXXX
~:,
TRANSGLOBAL LOGISTICS INC
COMBINED TRANSPORT BILL OF LADING

NOT NEGOTIABLE UNLESS CONSIGNED "TO ORDER"
SHIPPE8}EXPORTER !fOMPLETE NAME AND ADDRESS)
BOOKING NO
PT. SUMATtRA ARABiF.A GAVO
BILL OF LADING NO
GI8LW1SOOO13
JL SYiAH UTA,\;lA NO. 115, ;(AMPUNG MAKMUR SEr~TOSA,

KEC BANDAR, ;(AB. BENE,~ J....1ERiAH,
ACEH-24582 INDONESIA
EXPORT REFERENCES
CONSIGNEE (IF "TO ORDER" SO INDICATE)
FORWARDING AGENT FMC NO
COOPERATiVE COFFEES iNC

302 \-Ai.tAMAR ST. SUiTE E
Ar.1ERICUS, GA 31709 L!3A
T;:c.H-229-92 IkW3S, FAX. +1-229-924-5250
TGlOTI Number: 019970NF

APPLICATION FOR DElIVERY MUST BE MADE TO
TRANS GLOBAL LOGISTICS INC

30 KNIGI-ITSBRIOGE ROAD, SUiTE 525
PISCATAWAY NEW JERSEY 008854
TEL 732 640 2980
PAX: 732 640 2982
NOTIfY (NO CLAIM SHALL ATTACH FOR FAILURE TO NOTIfY)
u..CElCO TRAD:~jG L.P.

17 tiA'ITERY PLACE; SUfTE 1010 NEV.j YOR~( NY l00C4
TEL. 1- 1-212-344-6771 FAX. 1- 1-212-344-a123
PIC; MS. SHllNI mall: shilni@trgllnccom
PRE-CARRIAGE BY
PLACE OF RECEIPT
EXPORT CARRIER (VESSEL. VOYAGE)
PORT OF LOADING
BELAWM. iNDONESIA
LOADING PIER/TERMINAl
BEtAWAN, INDONESIA
PORT OF DISCHARGE
N[~-Y
YORK..
PLACE OF DELIVERY BY ON CARRIER
TYPE OF MOVE
U~ft,
elf ICY
PARTICULARS FURNISHED BY SHIPPER
MARKS & NOS I CONTAINER NOS
V~DJ60S64841
M~RK1NG
SAID TO CONTAIN
DESCRIPTION OF PACKAGES AND GOODS
NO. OF PKGS
FE.i4464955
GROSS WEIGHT
SHiPPER'S LOAD, STOW, COUNT, WEiGH! & SEALED;

lX20'FCL ; 300 BAGS iN 60 KG:; NEW SiNGLE GUNNV 8AG .;. GRAIN flO
SUMATRA ARABiCA GAVa GREEN ARABiC4. SPECiAliTY GRADE
QUAliTY COfFEE ,"AiRTRADE & ORGANIC CERTiFlCATE
PT. SAG
AS PER CONTRAl"T SUGl56
015/178g;06
5J5156
FDA REG NO. 159 159704 fi8
GROSS WEiGH f:
18,300.00 KG
FLO iD: 1341

5Ur'i~~TRA .~;~.';~;C.A
MEASUREMENT
NET WEIGHT .
18,000.00 KG
GAYO
GREEN AiUB1CA SPEC1ALTY
GRAue QUAliTY CUffEE

rA.!R TRADE FLO + ORGANiC
CE"<T:"'i.;
t!
~'~Q H0DKS'~
;J (1.) . 831475
:=LO :J : 27975
#.SKObU FLO iO : 18213
i-'F:G8 Of iNDONESiA
2i"lf"'.
_ ,-,\"-:',,
ORIGINAL
TEMPERATURE CONTROL INSTRUCTION:
EXCESS VAWE DECLARATION:

REFER TO CLAUSE 6(3)(B)'" (C) ON REVERSE SIDE
FREIGHT PAYABLE AT
NO OF ORIGINAL BL's:
3 (iHREE)
PREPAID
FREIGHT & CHARGES
COLLECT
FRE!GrlT ?REPAiD
RECEIVED by the Carrier the Goods as s:J0clfled above in

apparent good order and condition, unless Otherwise stated, to
be transported to such pis<:e as agreed, authorized or permitted
hsrein snd sUbject to all the terms and (;onditlons appearing on
the front and reverse of this 8111 of Lading to whIch the Merchant
any local prlvlleges and
~~:t:dm~y
'the
ShIPpe~'~~nT:e
weight,
~:~:uar~~V:u~:tl~~
contents and value of the goodS are unknown to the

carrier.
witness whereof one {1j Qriginal Bill of Lading has
not otherwise stated above, the same being
been signed
accomplished the other(s), if any to be void. If required by the
8111 of Lading must be surrendered duly
andorsed
for the goods or delivery order
Signed on behalf of
TRANSGL BAL LOGIST

JURISDICTION & LAW CLAUSE:
JURISDICTION
The contract evidenced by or contained in this Bill of lading is governed by the law of United States of America and any claim or dispute arising
hereunder of in connection herewith shall be determined by the United States Federal Court of the Southern District of New 'York and no
other courts.
INC
TRANSACTION CERTIFICATE
USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION
I, Body issuing the certificate (name and address)
Control Union Certifications B,V,
Meeuwenlaan 46
8011 BZ ZWOLLE
NETHERLANDS
2 a) The National Organic Program standards of the United States Department of

Agriculture/Control Union Certifications standards
2 b) Reference number of the certificate: PRJ 831475/469173
3, Seller of the product (name and address)
4, Inspection body' (name and address)
PT,SUMATERA ARABIK... GAYO

JI. Syiah \Jtama no, lIS Kampung MakInur Sento"". Kec, Bandar
24582 Bener Meriah
Aceh
INDONESIA
Control Union Certifications B. V,

Meeuwen laan 46
8011 BZ ZWOLLE
NETHERLANDS
5, Producer or processor of the product (name and address)
6, Country of dispatch
INDONESIA
PT. Sumatera Arabika Gayo

la1an Pertahanan No. 61-B. Desa Patumbak. Deli Serdang.
20361 Medan,
Sumatera Utara,
INDONESIA
7. Consignee (name and address)
COOPERATIVE COFFEES INC
302 W.LAMAR ST"SUITE E AMERICUS, GA
31709 AMERICUS
UNITED STATES
8, Country of destination
UNITED STATES
9. Address and place of destination'

11. Gross mass
10. Marks and numbers, container no(s), number and kind, Trade name of the product.
NOP certified
100% organic Sumatra Arabic. Gayo (SuMATRA ARABICA GAYO GREEN
ARABICA SPECIALTY GRADE QUALITY COFFEE FAIRTRADE FLO +
ORGANIC CERTIFIED) packed in PACKED IN UNIT 60 KGS IN 300 BAGS
Production
Year
2015
Lotlbatch
Gross mass Net mass
numbers
(kgs)
18300,00
(kgs)
18000,00
18300.00 kgs
12, Net mass

18000.00 kg;
from organic production methods.

Invoice no,: 004!INV/SAG!TV/2015 d,d.09-04-15
Transport document no.: GIBL W 15000 13 d.d, 12-04-1S
Container no,: MEDU605648-4
Identification codes: PT. SuMATERA ARABIKA GA Y() OJ 5/1789/06 SuG 156 SEAL NUMBER FEJ4464955 TRANSPORT COM
PANY: TRANSGLOBAL LOGISTICS INC
13, Alternative units
14. Declaration of the body issuing the certificate

15. Additional declaration (if appropriate)
16, Plaee and date of issue

Jakarta, 15 April 201,5
Name and signature of authorised person
Stamp of the issumg body
~~~~;~;;Uil'"D~'ru
a~,r.o
~
--.,
..
~u.-.~
..,~o,
*Explanawry notes
Box 4: The inspection and certification body for compliance with the rules on from organic production methods"
Box 5: The firm which carried out the last operation (processing, packaging, labelling) on the batch,
Box 9: The address of the finn where ~e batch will be delivered, if ditferent 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,
t.NId

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Closed at $2.

PT. SUMATERA ARABIKA GAVO

JaJan Syiah Utama, No.1 15,

COOPERATIVE COFFEES, INC

New York, NY - USA

SUMATRA ARABICA GA YO GREEN ARABICA SPECIALTY GRADE .

QUALITY COFFEE FAIRTRADE & ORGANIC CERTIFICATE

Marks & Nos:

17 Battery Place, Suite 10 to New York, NY 10004

Tel: +1-212-344-6771, Fax:+l-212-344-8723

MEDU6056484 &: FEJ4464955

Please pay our Invoice to Bank address below:

PT.SUMATERA ARABlKA GAYO, Account NO.021S041342 (USD)

at PT.Bank Negara Indonesia (Persero) TBkUSU Medan Branch

TRANSGLOBAL LOGISTICS INC

COMBINED TRANSPORT BILL OF LADING

SHIPPE8}EXPORTER !fOMPLETE NAME AND ADDRESS)

PT. SUMATtRA ARABiF.A GAVO

JL SYiAH UTA,\;lA NO. 115, ;(AMPUNG MAKMUR SEr~TOSA,

CONSIGNEE (IF "TO ORDER" SO INDICATE)

FORWARDING AGENT FMC NO

COOPERATiVE COFFEES iNC

TGlOTI Number: 019970NF

TRANS GLOBAL LOGISTICS INC

NOTIfY (NO CLAIM SHALL ATTACH FOR FAILURE TO NOTIfY)

u..CElCO TRAD:~jG L.P.

PIC; MS. SHllNI mall: shilni@trgllnccom

EXPORT CARRIER (VESSEL. VOYAGE)

PLACE OF DELIVERY BY ON CARRIER

MARKS & NOS I CONTAINER NOS

SHiPPER'S LOAD, STOW, COUNT, WEiGH! & SEALED;

AS PER CONTRAl"T SUGl56

FDA REG NO. 159 159704 fi8

FLO iD: 1341

GREEN AiUB1CA SPEC1ALTY

GRAue QUAliTY CUffEE

TEMPERATURE CONTROL INSTRUCTION:

EXCESS VAWE DECLARATION:

FREIGHT & CHARGES

RECEIVED by the Carrier the Goods as s:J0clfled above in

contents and value of the goodS are unknown to the

TRANSGL BAL LOGIST

2 a) The National Organic Program standards of the United States Department of

3, Seller of the product (name and address)

4, Inspection body' (name and address)

PT,SUMATERA ARABIK... GAYO

Control Union Certifications B. V,

5, Producer or processor of the product (name and address)

PT. Sumatera Arabika Gayo

9. Address and place of destination'

Gross mass Net mass

12, Net mass

from organic production methods.

13, Alternative units

14. Declaration of the body issuing the certificate

16, Plaee and date of issue

Stamp of the issumg body

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