C:josed: Green Coffee FOB, C CIF Contract

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Specialty Coffee Association of America

Green Coffee FOB, C & F, CIF Contract


All pa rties rep re sent th at they are fa miliar with the provisions, terms and conditions of
the contracts of th SCAA in effect at the dale hereof.

Contract Number: Co ntract Number PED102


Seller: CEPICAF E 10 FLO 83 8 Cooperati ve Coffees 10 FLO 1341
Urb EI Bosque, late 18 y 19 302 W Lamar Street , Suite E
Castilla , Pi ura, Pe ru Americu s, GA 31709 USA
Tel +5 1-73-344-983 Tel +514-907-98 53 ext . 3
Fax +5 1 7 3-343-250 Fax +229-924-6250
cepicafe @ce picafe.com .pe florent@coopcoffees com

Date: March 8,2010


1. Quantity Two Hundred and Fi y (250) Bags of 69 Kilograms Net Each .
(Total of 17,250 Ki logramsl 38 ,029 poun ds)

2. Quality Peru SHG European Prep 16/1 7/1 8 Screen Certifi ed Organic
W ashed Green Arabica Coffee - CEPI CAFE

3. Price NY "C" Co ntract Sept 2010 + .15 quality differential + .'10 Fair
Trade prem ium + .20 Organic premium. If not fixed earlie r. the c:Josed CL+
price is automatically fixed on Open ing Price of first day of
shipment mon th. or Minimum Price = US$1.70 per pound.
Z . 20 on
FOB Po rt Paila Zg Ju.' ~ Zot

4. Weight Basis : Silipped Weig hts

5. Payment: Full payment upon presentation of docu ments.

6. Insurance: To port. covered by Seller. From Port to Mexico (WP Deca f


plant) , covered by account of Buyer,

7. Shipment: August 2010, From seaport Paila , Peru

8. Destinatio n : Veracruz , Mexico

9. Remarks: 1. This coffee was traded accordi ng to international Fair


Trade crite ria as established by FLO .
2 . A rbit ration-Friend ly , Californ ia If any .
3. Pre -shipment sample required.
4. Certificate of Origin Req uired With Docu ments
5 . Org anic Certification Doc uments required
6 . Bag s marked "FLO - Fair Trade" and "Organ ic", with FLO ID
of Cep icafe, and Cooperative Co ees and CEPI CAFE logos

Cooperative Coffees, Inc

'lar<:h H, :W I ()

Buyer: Date Florent Gout Date


1'\.\1,:: I I c.\Rln~TIX\
Cooperative Coffees, Illc.
('OlmOB,\-\TH :\CI{T ::r.

S 1,1:; Ill(' B()l(k~1IX Suil e ,,'; 00


'J IWO CO l~ D( lI1\

I'lloll e : :27 1; I :27()(i(i

J\.1olllll' '' 1. uC' H~H:2I'CJ ('~llad"


l'ho ll(' : I.,; 11. ! J() 7 , ~!l,i :~
Oescamex FLO 10 3599

Date O:-l/O9! I 0
Contrac[ NQ I) MFT<t'j5G
Your ref rellce PEDI02

\Vc conlinn Lhe [(lll()\\ill.t; Lollillg- agrccmcnl or [\If\V nC G!.!' proce ss ,


Quan tity 2,')0 Ihgs W . rs Greell Colke
'27(i B rll~S or
(i) kg-so 'lJlprox D ccaf Culfcc
Qulitiy Pcr u i\rai>ic<L FT( Fairl rade) Orgallic Crccli/
MV\.' (Moulltaill \Vale r) Decal Proecss

Shipment Crecll c()[Tcc shipl1l Cl l l Scptclllhcr/20 10


Dccar Colke s hipmcLll ()clo\)cr!'2() 1()
Shipped from Paila , l'lTll

Destiollatioll NCII';L1k Nf 11Sl\

Terms (;rn'll C()fl~'C rccincd ell" VcracJlv OIl .'-i c pleillilcr ;tIlel l)ccal"CnlllT

dcIil'cree! Ycr;l('nv" 1\1 t ', "ico Oll Uc(olwJ".

Tile weight losS;H till' 1\1\\' !)ecalproecss should bc I>cl"'ce l1 :1 10 ,J ''i,

weighls rccci ve d, The residual calktlle oblained [rom UIC c() lke lIillhe

kcp Lby Dese;unC\'.

Weight basis (;reell CO(l'cl:, lIel rccicvecl \\I('igllts,' Dl'caf Co lre.c, IlC L ~ ltippecl weig-Ill

1/2 % FraJ&,ltisc,

Price (Ui;·l l lS I) / l'olllld s Lolling cos! or


actual gTl'l'lI rc(ci\'ed m'lg-hl s,

Reimbw-scmellL NCL (",lsi I ;1,\;lilISl dOCllIlWIIIS ,

Hub Til lS cOllLracl is slIbjcci 10 lltl' rules 01' Lltl" Nell' YOlk Cru:11 Colke

A$so cialiull ill rorcl' 011 L.lle dale or lhis cOIllr; ]{ '1.

Rules/Arbitrati oll ,\lIl' leclmical or C]uaJi ly dispul c 10 b e : ell.1ccl ;lI11ical>k or liIroll,l!,"lt

il rllit ra lioll ill New York,

To thc cxtClIllloL il!("()lIsislL'ni wilh Ih e len11S hlTcol' illts cOlll rac t

illcorporales ;L1l or the pn)yiSlO llS , lC rIllS and cOllditiolls or ill<'

appropr;atc FO,B.. s pll i l'xri.o('., CLF. (1j l' F (" f )l i l racis ()rill ' g recil

colfec ass()ciaLiulI of' 1\( '''' York ill clTecL or tJI(, d;lLc hcrco r,

I'lease relul'II till'. cllclo sed duplic,llC duly siKllCcl.

Sellcr
Descafei.1ladores Mcxicanos,SA de CV
o ESCAM FX
FACTURA - INVOICE
Asociacion Central Piurana de Cafetaleros
Urb. EI Bosque Mz. "AULotes 18 y 19, Castilla - Piura , Peru
Telfs. : (0051 )-(073)-344983 - 345293 Fax: 343250
R.U.C.20357316872
~ail : cepicafe@cepicafe .com.pe
http~llwww.cepicafe.com.pe 0002 - N~ 00140 8
CEPICAFE FLO ID: 838
Central Piurana de Cafelllieros

Cooperative Coffees, Inc FLO ID: 1341


Senores: 302 W Lamar Sf. Suite E Amerk;us, GA 31709 USA
Mr.:

en etectlvo contra presentac~6n de documentos


Pago: Net cash against fir~t presentation .o f documents Su Contrato: PED102 Nuestro Contrato: V-1030
Payment: Your Contract: Our Cont ract:

375.00 QQ 250 Sacos de 69 Kilogramos netos cada uno de cafe organico verde arabica _ 21296 79,860.00
FAIRTR~DElBIOLATI~A - Cosecha 2010- CEPICAFE - PERU SHB
per
(250 Bags of 69 Kilograms net each of Certified Organic Washed Green Arabica Coffee - Fair 46 Kg
Trade/ B/olatina ­ Crop 2010 - CEPICAFE PERU SHB)

Son : Setenta y nueve mil ochocientos sesenta y 00/100 D61ares Americanos - Precio FOB Paita

eight hundred sixty and 00/100 Dollars - Price FOB Paita

Peso Neto: 17,250 Kg Peso Bruto: 17,410 Kg Kgs. por Envase: 69 Kg Envasado en: Sacos TOTAL S$ 79,860.00
Net Weight: Gross Weight: Kgs. per Pack: Packed in: Baas
CEPICAFE
Marcas: Puerto de Embarque: PAITA Destino: USUARIO
30/520/2041 MEXICO
Marks: C·PED lII2 Port of Shimpment: Destination :

IMP. "S8IOR DE lOS MllJI(;l!OS"


Of, EOGAA EDMI.J«OO ArocH£ 'Itt""
R.U.C.IOO36<1961lT
AUT IMP. 0000J9008
SERlE 0002 DEI.
FACTURA - INVOICE
Asociaci6n Central Piurana de Cafetaleros
Urb. EI Bosque Mz. "An Lotes 18 y 19, Castilla - Piura, Peru
Telfs. (0051 )-(073)-34 49 83 - 34 5293 Fax: 34 32 50
R.U.C.20357316872
E-mail: cepicafe@cepicafe.com.pe
httP7t1www.cepicafe .com.pe 0002 - N~ 001409
CEPICAFE FLO ID: 838
Central Piurana de Cafe~leros

Cooperative Coffees, Inc FLO ID: 1341


Senores: 302 W. Lamar S.t. Suite E Americus, GA 31709 USA
Mr.:

Neto en efectivo cOlJtra presentaclpn de documentos


Pago: Net cash against first presentation of documents Su Contrato: PED102 Nuestro Contrato : V-1030
Payment: Your Contract: Our Contract:

Kilogramos netos cada uno de Organico cafe 10.14 3,802.50


per
46 Kg

. TreS mil ochocientos dos y 50/100 D61ares Americanos - Precio FOB Paita

Three sand eight hundred two and' 50/1 00 Dollars - Price FOB Paita

Peso Neto: 17,250 Kg Peso Bruto: 17,410 Kg Kgs. por Envase: Envasado en: Sacos TOTAL
Net Weight: Gross Weight: Kgs. per Pack: 69 Kg Packed in: S$ 3,802.50
CEPICAFE
Marcas: Puerto de Embarque: Destlno: USUARIO
Marks:
30/520/2041
Port of Shlmpment:
PAITA Destination: MEXICO
C·PED HI2

1111. 'SENOR DE lOS 1IIIlAllRO S"


OC £DGAJI EJ)IIIU'!OO ATOCItE lillY.'
R.U.C. 1003&498711
AUr liII. 0060l'lOO8~rl 211·02
SERlE 0002 DEI. llO'l lI.a
Cooperative Coffees Inc.

'luJlcrativ~ ( o lfccs , Inc .


302 Wc ~l I.ama r Slrc,;d. ·lI ll ' C
Invoice
Amcri -:Il ~. C A, ] 17()Cl
(j'JI13/20 10
(229 )924-3035

Due: till re ce ipt (Jl) 13 20 I ()

Dc,;,l:af'inalil)rcs c. iClllOS SA Dc C
KM . 341 Car rctcm ('or It bu- era 'r IZ ~
70na lndUSlr ial 94690
94690 C J doba. Verm.:nll 'kx ieo

(J (} , 13 ' 201 () M d itcrrallcan t XU231 1047 PLDI02

'-Other: DL'L::tr C • Green 'osts liJr P ' D I02 - 30r520 2041 - _50 bags 380:0 2. 199908

TOTAL $83,662.50
DESCAFEINADORES MEXICANOS, S.A. DE C.V.
~
FACTURA
KM 341 CARRETERA CORDOBA VERACRUZ SIN ZONA INDUSTRIAL

TEL. (271) 712·70-66 712-44-33 FAX (271) 712-72-46 714·31-26


~ 11090
DES C AMEX A P. 476 C.P 94690 CORDOBA. VERACRUZ. MEXICO

VENDIDOA: CXX)PEAATIVE COFFEES, I~. D~


EMBARCADO POR:
,! DIRECCION'• 302 W UW\AR Sf SUITE E
A\1ERIQJS,CA 31709 CONDICIONES:
CIUDAD: R.F.C.

CANTIOAD UNlOAD OESCRIPCION PRECIO UNITARIO IMPORTE

273 SACOS PERU FT CRCAN IC Ml.NTA IN WA.TER 297 91 107,579 32


DfCAFFE INATED COFFEE.
lUfAL KILa> NElU5: 16,380 KGS
PESO EN LlERAS: 36,111.35 LBS
~: 2520
L.0TE I\I..M: 040
REF. PED1 02 0ME-3556
Df.SC'.ANEX FLO 10: 3599
PRILCER FLO 10:838
CXX>P FLO 10: 1341

liSE ~ 273 SACOS ~ 16,380 KGS NETOS


DE CAFE IlVRRTAOO l"EMUWN.ENTE ~ PED.
36550001419 DE FECHA 01/10/2010 RDR LA
ADJANA. DE VE.RA(RJZ, VER ~ ~ Il\IMEX
!
~
713-2006."

PLEASE WIRE TRANSFER lO:

iu BAN< : SfAN)AR[) GtARTERED BAN<


YOOK

~
BENEF I ClARY: OESCAFE I NAlXRES ME)( I CANJS 54 DE C. V.
is ACCOUNT: 3544-021363-001
S ABA: 026002561
~ C lTV: NEW YrnK
en
~
~
l!!
g
~

~
Z
::::J
W

~
t;;
z
o
o

~~~~-=~~--~------------------+-----~-r----~-;
~ ey~T~ i~1 L OJ I N I ENTOS SETENTA Y NJEVE OOLLARES 32/100 U. S OO~.. TAL

oo

~ "~
..••
~ ............. ,....... .

SAT
I.V.A
107,579 32

§~ AGENTE FIRMA CLIENTE TOT A L


107,579 32
g --~~~~~------------------L------~--~------------L----RE-G-IS-T-R-O-S--L-----~---L~
;( W~ REG. FED. DE CONT. DME.Ol0129.M42

;~M~~
u
~ ~.~
=>
g
~ ""'c.."".."....
0:
29<)9263
~ ..... oII«l!u:A _ _ ftfC.IDllIOl'1D Ef'ECTOS FISCALES AL PAGO
CClMPfICl8AHTE VlGEHlE HASTAllAVoaol2
-< ~I .~mpr •• o.
r'L-_ _---.:~____...J a ____
crlstal _ ... _.. .._ ,&.»Q~ ...
FG.N:aaIII. . . . . . ,.... . . .Wl'.1IIifp04IIfJU
... a... tS"'_~.Al' PAGO HECHO EN UNA
SOLA EXHIBICION
CooperatIve Coffees

f pell a' .)5/ 10/ 20 1


larca : 30/52.0/20 4
Ded ln no : j[:' S5 00014 q echa 01/ 10/ 2 10
Origen : Peru

K Importc dl ,
deos r eu~lIdo s de s factura

3052 250 7,220 37 ,%3, 2 1 83,6 '2. 50

ReslJltlil do :

% de kgs . x N al et al precl o
sacos mCr nld saeo k s. Ii bras dls/lbS.

r!3 .U 8% bO 16, 380 36 ,111. 35 297 .91 107 .579 .32

Lote Q. 040
-=....;~-----

Rcferen ICS: PED 102


.:.....=~..;;..;;::.----

Factulo"l o. 109); . . . .- - -­
-=-=-=.
D ME <~5 _)6
D S Arvl E FLO ID 3 ~99
PRODUCE flO JD 8 38
COO FLO 10 1 34 1
DESCAFEINADORES MEXICANOS, S.A. DE C.V. FACTURA
KM. 341 CARRETERA CORDOBA VERACRUZ SIN ZONA INDUSTRIAL
TEL. (271) 712-70-66 712-44-3 3 FAX (271) 712-72-46 714-31-26 N~ 11124
A .P. 476 C.P. 94690 CORDOBA, VERACRUZ. MEXICO

VENDI DO A: COOPERATIVE COFFEES. INC. 2010

DIRECCION: 302 W LAMAR ST SUITE E.


CONDIC
AMERICUA. GA 31709 USA
R.F.C.

CANTlOAO UNIDAD OEseRIPCION PRECIO UNITARIO IMPORTE

SEA FREIG HTS PAYED FOR YO UR ACCO UNT.

PERU ORG. REF . PE D-102 BIL MSC UP0681857 1,725.00

PLEASE TO SENT TRANSFER TO:


BANK: STANDARD CHA D BANK NEW YO
BENEFICIARY: DESCAF EINADORES EXICAN OS. SA DE
ACCOUNT: 35440 21363-001
ABA. 02600256 1
CITY: NEW YORK

IMPORTE TOTAL CON LE'JM


(uNE TH OUSAND SEVE N HUNDRED TWENTY FIVE DOLLARS 001100 USCY) SUB-TOTAL 1.725.00

I. V. A.
AGENTE FIRMA CLiENTE
TOTAL 1,725.00

REGISTROS
REG. FED. DE CONT. DME-010129-M42

DlE
EFECTOS FlSCALES AL PAGO
UllSIOHOEl. No. 11.101 J<.12.100 rE01ADE IWPRE8lOHtiEPJla./lIIEQ010 PAGO HECHO EN UNA
SOLA EXHIOIOION
N\JIIIEl\O DEN'ROIIIICION DEI. 8ICCF1: 2O'2PDI
See lVeb.. ts (or large version of the _ e I Ver pagln Web pa'" termin os y condJclones I C"orpHle seG-caM MA OlHa"OMneHH" C '/COO.... " .. H nonOlK..I<HAMH I III !l!.MlO I \'iWW.mscgva. Ch

m
sc
MEDITERRANEAN SHIPPING COMPANY S.A. BILL OF LADING No.
40. avenue Eug{>i'\8 P ill~ rd. 1206 GENEVA. Switze rland
Tel.. + 41 22 703 88 88 Fa> ' +41 22 703 87 87
Website: www. mscgva.ch SCAC Cod e MSCU
ORIGINA L
NO . & SEQUENCE OF ORIGINAL BIL's
MSCUM3344589 "POI'H o--Parl"' or 'Cornbl fli;!'d
Tta spon-' (aeo CJause. 1)

r-------------------------------------------------~---~~~~--------------~xn·[--------------------~
S7:l~~r'A FEINADOR ES MEXICANOS. SA DE C.V .. RFC DMEOI0129M42
KM 341 CARRETERA CORDOBA VER~\CRUZ SN
ZONA INDUSTRIAL CP 94690
CTC'.ING . DEMETRIO ARANDIA TEL 522717124443 FDA. 15779175542
' ORDOBA. VER. MEXICO

CONSI GNEE nns BIL is IIOt ""1l0tlable unless marked "To Order ITo Order of .. . here C"'RR IER'S AGEN TS ENDORSEMENTS: (In clude Agent(s) t POD)

COOPERATIVE COFFEES, INC TAX ID 58 2505600 FCUFCL Special contract: 10-404WW

302 W. LAMAR ST. SU ITE E


LINER IN ILiNER OUT

erc HILL HARRIS


DESTINATIO N AGENT ADDRESS :MSC N EW YORK
TEL. ,12299243035 FAX 12299246250
, . . E5~~sr7~----------------------~ (AT 37TH STREET) - 8TH FLOOR
NOTIFY PARTIES (No responsibility .hall allach to tha Carrier or [0 his Agent for ( liure to nolify · see NEW YORK, N.Y . 10018-2702
Clause20j . infD@ msc .us
+12127648592
EXCELCO TRADING LP TAX !D. 1334797
17 [lAn-E RY PLACE SUITE 1010 ZlP CODE. 10004 +12127644800
TEL.FAX. 121 23448723 SHIPPER'S LOAD, STOW AND COUNT

erc GEORGE TSIAS rSIOS


SHIPPED ON BOARD
~~wu~~~~~~.~----------_.----------------~----------._------------------------------------_4
PORT OF lO"'OING PLACE OF RECEIPT Combined Transpor! ONLY· see Clauses 1 & 5. 2)

MSC LONA OIIR VERACRUZ XXXX XXXXXXXXXXXXXXXXX


BOOKING REF. SERVI CE CONTRACT NUMBER PORT OF DISCHARGE PLA CE OF OELIVERY . (Combined Transport ONLY · see Clauses 1 & 5.2)
191 DAH45 179768 NEW YORK XXXXXXXXXXXXXXXXXXXXX

PAR TI C U LA R S FUR N ISH E ° BY THE S HIP PER . NOT C H E C KED BY CAR R I E R • CAR R I ERN 0 T RES PO N SIB L E • See Clause 14

Container Numbers. Seal


Description of Packages and Goods
Num bers and Marks
(Continued on at ched Sill or Lading Rider page(s), If applicablel Measurement

I X 20' CNTR(S) S.T.c.


2520·040 PERU FTORGANIC MOUNTAIN
WATER DECAFFEINATED COFFEE BEANS
MARKS 2520·040
GREEN REF.DME3556
DECAF REF PEDI02
DESCAMEX FLO ID 3599
PRODUCER FLO ID 838
COOP FLO ID I341
NET WEIGHT 16,380.00KGS
GLDU3677819120'DV 273 BAGS 16598.000 KG
TA RE : 2200 kg
Seal:B411031

TOTAL TARE: 2200.00 KG


TOTALS: 16598 .000 KG

FRE IG H T C H ARG ES RECEIVED by Ihe Camer in pp:u ent good order and cohdiUon (unles"$ other.... is~
!-'-==.;";,..==== =-....:===;;;,,,;,;= == = = = = == = ..:;..;;;..;.:====..:..>= = == = ' ­ - -- - - - I slat d .Ierel,, ) the l alill numb~H or quunl.ly of Con tainers or oUler packages or unlt::"\
IndlC8lE'Kl W1 the pox ef1 hUed Ca rrier's RoeeLpt for camage 5ubJ ct to all the term s
and CAlndlhl'lrl S t'lareol 'film th·· Place of Recotpt or Port of Lo:')dlllg [0 the Port of
O.acharge or Place at OelNery. whlchEivens applIcable. IN AC CEPTIN G THIS BILL
OF LADING THE MERC H"'NT EXPRESS LY ACCE PT S AND AGREES TO ALL
l'lir TERMS AND CONDITION S W HETHER PR INTED. STAMPED OR
OTHE W ISE INCORPORATED ON TH IS SIDE AND ON THE REVERSE S[DE OF
TH IS BILL OF LA O[ N G A N D TH E T ER ~ S AND C ONDIT[ONS OF THE CAR RIER 'S
SECURITY MANIFEST DOCUMENTATION FEE· USD 25.00· COLL A PPLICABLE TAR IFF A S IF TH EY W ERE AU S IGNED BY THE MERCHANT
ISPS· INTERN _SHIP AND PORT S EC. CHARGE ISPD· USD 8.00· COll
SEAFREIGHT· USD 1300.00 - COLL If tnis Is. \')ft{Iotlable (To Ordtir I o f) Bill of Laulng , Oil€.' ongi ' 1 Bill of Lading , duly
e ndorsed muM be sumnldcri3-d by Ihe Meroh' nt 1.0 the Carrier (toge ther wlth
DOCUMENTATION FEE - USD 50.00· PREP oulstandlng Fr Ight and char g~ ) in ex.dlange for the Goods or a Delivery Ordec If
BUNKER CONTRIBUTION· USD 255.00· COLL Ihl$; I 8 l1 on~n ttg<lli.8ble (stmlg ht) Bill 01 La(hng, It,,,, Carner shall delIVer th e Goods
or l!t:;,ue a DelIvery 0 ; e r (atter ~ y me nl of outsl ndlng Freig ht and ch ft}es)
agaenst ule SutmrnJet 01 00 on.g lflal 8 111 Of L 'lOg or In accordance With the
natrona! I 'II at tt',l a Port or Disc *~)e at Place o f Doh ry whichever is applicable

IN WIT NESS WHEREOfi ,he Corper or ,.-, tr Age nt h S Sign ed the number of 8 111s
Clf Lading ltated at tha lOp . ~f l of tfUS' ta:nor end date, and w t"te r ver one onglnal Bill
or l adIng has t;~n surrenden· V all {)th f BI1 15 {.If Lading shaH be void

D ECLARED VALUE (only applIcable If Ad Va lOrem CARRI ER'S RECEIPT (No. of ColfS Of Pkgs rcvd by c"rrier ­
Charges paid" see Clause 7.3) see Clause 14 1) I

PLACE "'NO DATE OF ISSUE SHIPPED ON BOARD DATE

VERACRUZ, 10111 12010 10/ 11 12010

190 U.S. Edition · 1212007 TERMS CONTINUED ON REVERSE I


A o
..
~ISClIP0681857
MEDITERRANEA SH IPP NG CO
tII .C O -1 ---
M"CS
IrrHH [ E NIL
,../1 " C.. GCNT:
ASOCIACIClN CI:NTRAL I'I UHAN!\ DE C/\FFIAI.EROS-C IYICAIT ITUI;CL

1'1.0 If) ~JK UR L3 1::1. IIOSQLJ F M Z /\ LOTI'S 18 Y 19


DESTINATI()N AGENT AD!)RESS::>"ISC VI'R!\CRlJ7.
CASTIL LA - PIURA -PERU AV. 5 DI' MAYO N H. 961 - 2
lLl .I:J'UNU. +51 73 J,14983 EX\( : '51 D 343250 9170U VERA ·RUZ. VEl{
+522299 1·1] 47
C('I , :~m 101' Tn ".

., 52 2~9 93 I 0·116

DESL· ," Fl.'II'A()URE S MEXICANOS. SA DL C V

fl.1\ 1 J41 l',\RRJ:TFRA CORDOBA - VERAC RLi'.

'/N !.ON,\ INDUS' I'I{l t\L 9·\6')0 CORDOIl,.\ . VEK.M]W7 . i'vlEXICO

()Nl:\CT: U!lS ()[ METRIOI\!{AN I) IA 'I H. ;- 521271) 71 2 7Q66

';OT lf)\""~D1'>INdltQUg i M~-'-


C .

" i- - i:", 1':. , ­


(:\2) COOPFRAliVl; COHer eS INC

302 W . LAM ,\!{ ST AMERI CUS UA J 170\1


I'll : 22'1924 J035
MEXI C U TAX iD 58-2505600

IflU F RE CEIPT (CL-'- -'


XXXXXXXXXXXx"'I(XXXXXXXX
C APt: RACE SOW PAIT."

" -: 21

I 1~1792S~

I Measurement

Ci;Y IC MT
30 / ~10 / 2()'11
Ix 20' CNTR(S\ S.T C.
OR ; ,,,)\0 IC COI'FFE A RAUI ('A
250 Ut'lGS
OF (,9 KI C)(il{t'lMS NLT L,.\Cli 01·

F!\IRTRi\I)E
ORUf\NI C (jR1TN COnTI-' ,'\ll"UIC,'\

CROP 1010
BIOL."TI 1\ - CROI' 21)10 - CEI'IC AIT

V - 1030
PI ' 1l102 PFRl :

NET W [: llillT \ 7.2~O KUS

!'1:lUI
N ET Wl:Ilj H 6') KG
Ci\XLJ2311047120'OV 1;1{[:lG Il r COLlYCT 17410.0()() KG
I ,\RL 2300 kg
S.",LMSC I 28307
\,,,,,:006335

17410.()()O KG

11 1\ ,'m \ Jl.F!G IER'S f'- I EJP f ,NO


... '"
PML".. 13i0912010

Slandar ~ En, lIon ~ 0 .;


567
DESCAFEINADORES MEXICANOS, S.A. DE C. V.
Km. 341 Carr. Cordoha- Veracruz, Zona Industrial C P. U690 Cordoba, Ver. Tel y Fax (271) 71 2 7066

lRegistro de Servicio de Maquila!

CONTRATANTE DEL SERVICIO PROVEEDOR DEL SERVICIO CERTIFICADO POR OCIA


Nombre (Compania): COOPERATIVE COFFEE Nombre del Procesador 0 Compafiia: Descafeinadores Mexicanos S.A. de C.V.
Certificado POl': QUALITY CONTROL S)STEM No de ID de Asociado: 39578 No. de productor: 2829C002-03
Certificado bajo: [8:J NOP 0 JAS 0 UE 2092/91 0 o Por la presente declaro que los productos indicados abajo fueron 1 seran procesados de acuerdo a los siguientes
programas de Certificaci6n/equivalencia* de OClA:
No. de Productor: o Por la presenle declaro que mi planta de proceso es\a certificado verificados con los progral1las indicados a
0

Direccion: continuaci6n *:
302 W. LAMAR ST. SUITE E Programas de certificacion:
AMERICUS, GA. 31709 USA o OCJA InternacionalllFOAM [8:J NOP OJAS
Programas de equivalcncia:
DUE 2092/91 OOtro:
<. Mflrque los progrflmas artijicfldos por OClA, (Esttil/dares OClA-IFO~1 )

Tel: (229) 924-3035 Fax:

Correo electronico: No . de Miembro 0966H Nombre del responsable del servicio I procesamiento: lng. Alejandro Marguez Mendez

Fecha del Entrada de maguila(d/m/a): 09-10-\0 Firma del proveedor del servicio: 1Fecha (d i m/a): 26-10-10
Entrada de producto Salida de producto
Tipo de Resultado de maquila
Tipo de Producto Fecha de Cantidad # Lote en Fecha de # Lote 016­
producto (Kgs)
/ Materia prima ingreso (Kgs) Verde Salida 2520
Jlrocesado Entregado Merma
HG Organic Decaf
Cafe Organico Verde 09-10-10 17,220 30-520-2041 26-10-10 16,440 780 040
-­ -
Water Coffee
TRANSACTION CERTIFICATE

NOP·USDA

l' Bod y Issuing lhe cenlficale (name and address)


810 lAllNA SAC
r limber 01 cenif,C<l le

A re nales 670. Jesl',s Maria


Lima·Peru
Tel +51·1·4232924
Fax +51. ,·4247773
--­ -----­- - - - ­- - - -
E<por1er all he prod ucl (name and adoress) 14 Conlrol bOdy' (name and address)
ASOCIACION CENTRAL PIURANA DE CAFETALEROS Bio Lalina S A .C.
CEPICAFE Av Arenales N" G70 Lima 11 Pe ru
URB EL BOSOUE MZ A LOTES 18 Y 19 CASTILLA PIURA· Tel ' +51·1 · '1232924
Il P ERU
__ l
Fa x +51·" ·4 247773
E.ma l!. cenlral@blolailna com e.e

Is Producer or processor uillie producl ' (name and addrbS)


ASOCIACION CENTRAL
CEPICAFE
PIURANA DE CAFETALEROS
6 CUUqtry 01 dlspalch
PERU

PERU

7 Consignee of Ihe producl (name and address) 8 Country of deslination


DESCAFEINADORES MEXICANOS, S.A . DE CY 1 MEXICO
KM 341 CARRETERA CORDOBA - VERACRUZ
SIN CORDOBA. VERACRUZ CP 94690 MEXI CO 9 Importer of Ihe produci (name and address),
PHONE . 011·52·271·714·5770 DESCAFEINADORES MEXICANOS , SA DE C.V.
ATTN LUIS DEMETRIO ARANOIA
I KM 341 CA RRETERA COR DOBA - VERACRUZ
SI N CO RDOBA . VERACRUZ C P 94690 MEXICO
PHONE 011·52- 27 1 -7 14·5770
A P H LUIS DEMETRIO ARANDIA

- -- - - ,-, .--Gross m as s (kg)


10 Marks a nd numbers. Containe r N°ls). Number and K ind 17410.00
Trade name of Ihe producl ~tmaS S(kg)
17250.00
CAXU2311047 SEAL: 006335 1 13 Alternallve units'

250 BAGS OF 69 KILOGRAMS NET EACH OF ORGANIC GREEN COFFEE ARABICA ­


BIOLATINA - CROP 2010· CEPICAFE PERU
CEPICAFE ,30/520/2041. ORGANIC COFFEE ARABICA . FAIR TRADE
CROP 201 O.V -10 30
C - PED102
INVOI CE . 002·01408
I BL MSCP0681857 VESS EL . CAP RACE 805R

I 14. 01
l arat" ,n ihe oody 15SUI/19 the ce rtificate

I Hereby ce~cs Ihat the products mentioned above have been obillined in accordance wilh the re ula ions'

--1
REGULATIONS AND RULES YES NO REMARK
810 LATINA I CEE - j-- --j- --+--- - -- - - -- -- - -- - - -- -- ­
NATIONAL'
OTHER
" {,'gul atiolls cllhe coun try md,catoo in 00' - ­

15 Addilional Decla ra oon


ThiS IS 10 cenify thai the. roducts designates above have been ob tained ., accorda nce Wltn rules of prOdUr.tIOil and inspe(;(ion 01 Ihe 0< anlc production method I
whicl1 are ccns :tfered eq uivalenl in accordance With Ihe prOVisions of the N,3tlCllal Organte Prog,am - J 'D A '. as se t out and monltore<J tJy the con!ld butJy
I mAllIJOned in box 4
, \6' Place of iss '':;'':'ue---'
of""c-
Ih e- CCnl
- '- -r,co
:;-- '-le- ­ Siamp of tile Issuing boov
Dale Seplember 17. 2010
I
ROJ«'llla PI, ego Flores
Manag!ng Director
I ' E,planalory noles

p_e_rs_ o_n_ _~ _
Name and si nature of authorized !... _ _ _

Box4 . CO" Irol body lor mOlliloring c01'lpl;aClCe with the rules on organic production methods

BoxS: The film whiCh carried Oul the lasl operation (proce~ Slng. packaging. labelliro9) all th c batch.

80x9: The acdress of Ihe firm where tne batCh will be delivered , 11differenl from the address In box 7.

Box 13. e.g. volume in lilres In case 01 liqUids, to be given. wnere appropriate. in supplement to Ihe declaralion in boxes 11 ano12

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