KOPERASI PERMi\Tl\GAYO NomorBH:S1810391BH1V12006 Jln.SyiahUtamaNo.66KampungSimpangUtama,KecamatanBandar KabupatenBenerMeriah,Aceh- 24582- Indonesia 015/1730/15 17 BATTERYPLACE, SUITE1010 NEWYORK,NY 10004 SUG 141 TEL.+1-212-344-6771 ,FAX. +1-212-344-8723 FLOID: 1341 ATTN: GEORGETSIASTSlOS SUMATRAGAYOMOUNTAIN GREENARABICACOFFEEDPGRADE1 (GTSIATSIOSEX::::A. FAIRTRADEFLO+ORGANICCERI1FIED IDCU:812234 Aceh"-frfo: nesic:, FLOID:6589 I' Ii PRODOFINDONESIA I/'\ . //I r?" t " "'; NETT60KGS f NEWYORK,NY .. 1-300 i Ir.Armia :f. Pleasecableourpaymentto:.................... BANK NEGARAINDONESIA(PERSERO)TBK USU MEDAN BRANCH,with Account NO....: 186412423 (USD) SwiftCode: BNINIDJAXXXon behalfofKOPERASI GAYO PERMATA .302W, LamarSt. SuiteE. Americus, GA31709USA FLO ID6589 Tel.+1-229-924-3035, Fax. +1-229-924-6250 Attn: ChelseaCarter FLOIDbuyer: 1341 FDA REG NO.13096723740 I Shippedby: . BILNumber: COOPERATIVECOFFEES, INC Email: o15/INV/PGC/2013/2014 .SINARBANDUNGV.3S2 IBLWNYC3LOOI DD.27 13 From: INDONESIA ..... . . To: NEWYORK, NJ !Consignee: I TOTHE ORDEROF COOPERATIVE COFFEES INC 302W, LamarSt. SuiteE. Americus, GA31709USA iTel. +1-229-924-3035, Fax. +1-229-924-6250 Container/Seal No: HJCU8468813/ HD267274 ConnectingVessel: i Attn: ChelseaCarter SUEZ CANAL BRIDGEV.0060W 300 (threehundred) Bags of 60 Kgs Net Each Bag SUMATRAPERMATAGAYOHIGHLAND ARABICADP GRADE 1GREENCOFFEE FLOFAIRTRADE& ORGANICCERTIFIED GrossWeight : 18,300 Kgs Tare 300 Kgs Nett Weight : 18,000Kgs Price :US$. 4,4537 .. Organic Premium :US$. 661.3 tons, FairtradePremiun :=5=._-,-,-" Price total :US$. 3t5 I FOB Belawan NSW as percontract Say:OneHundredThousarlll'e{fbt. <{, - Insurancetobecoveredfir FreightCollect - PaymentC.A.D - "This coffeehasnotbeen refused Marks& Nos. NotifyParty: PGe EXCELCOTRADINGL.P. Contract No. SUG141 US$. 80,166.60 US$. 11,904.84 US$. 7,936.56 US$. 100,008.00 CTPATNO.72545308 OT! LICENSE NO. 17577NF lINIVERSAL SHIPPIN6, INC. ORIGINAL BILL OF LADING Shipper (Full NameiAddresslTel/Contac:t Person) KOPERASI PERMATA GAVO JL.SYIAH UTAMA NO.56 KAMPUNG SIMPANG UTAMA KEC.SANDAR. KAB.BENER MERIAH. ACEH - 24582 INDONESIA Document No. BLWNYC3LOOI Bill of Lading No. BLWNYC3LOOI License No. orl UcenM No. 17577NF Point and country of origin of goods Consignee (Full Name/AddresslTellContact Person) 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 10: 1341 Delivery Agent (Full NamelAddresslTeUContact Person) UNIVERSAL SHIPPING. INC. 2855 S. RESERVOIR STREET POMONA. CA, USA 91766 LOS ANGELES,UNITED STATES frEL;1-909-628-2226 FAX;1-9()9..628-2221 Notify Party (FuH NameiAddresslTellContact Person) EXCELCO TRADING loP. 17 BATTERY PLACE, SUITE 1010 NEW YORK. NV 10004 TEL.+1-212-344--6771 FAX. +1-212-344.-.8723 ATTN: AMADEUS EHRHARDT (AEHRHARDT@EXCElTRADE.COM) Also Notify Party (Full NamelAddresslTellContact Person) VesselNoyage SINAR V.352 Pre-Caniage By Type of Movement FeL/FCL CY/CY Place of Receipt BELAWAN, INDONESIA [port of Loading BELAWAN, INDONESIA ,-ort of Discharge NEW YORK, NY- USA Place of Delivery NEW YORK, NY - USA Date Cargo Received illate Laden on Board 127 Dec 2013 Loading PierfTenninal Original to be Released at MEDAN PARTICULARS FURNISHED BY SHIPPER Container No.s w/Seal No,sl Quantity I Description of Packages and Goods Marks & Numbers Packages (KGs) (CBM) IGross wei91 Measurement HJCU9469913 / HD267274 / 20' GP / 300 BG(S) / 18300.000 KG(S) / 0.000 CBM / FCL/FCL CY/CY -------------------------------------------------------------------------------------------------------- SAID TO CONTAIN PGC 300 BG SHIPPER'S LOAD STOW WEIGHT AND COUNT 18300.000 0.000 015/1730/15 SUG 141 lX20'FCL CONTAINER FLO 10 : 1341 300 BAGS OF 60 KGS NET EACH BAG SUMATRA GAYO MOUNTAIN SUMATRA FERMATA GAYO HIGHLAND ARABICA GREEN ARABICA COFFEE DP GRADE 1 GREEN COFFEE FLO FAIRTRADE DP GRADE 1 & ORGANIC CERTIFIED FAIR TRADE FLO + NET WEIGHT : 18,000.00 KGS ORGANIC CERTIFIED FDA REG NO : 1309 6723 740 ID CU : 812234 FLO ID : 6599 FREIGHT COLLECT PROD OF INDONESIA NETT 60 KGS NEW YORK, NY 1 - 300 !Temperature Controllnstnlctions: IExces& Value Declaration Freight Rate & Charges IT.!""" at - Bill at I..acInQ __.... _ side 1-.01) IN WITNESS the signed BIlla at LadIng. aM atlhls bInor end dale _ of wIIIch the oCher -... void. Date r, " Signed By: !\ .--. --.- i i ... ) Description Unit Charge/Unit Exch.Rate Amount(P/C ...;.." ,.c... "',...-.-.. ,',., ".....- '. . ,. _r : i 4;;-" "
" f , '. .. 3 ',,' CTPAT NO. 72545308 OTllICENSE NO. 17577NF VNlflERSAL SHIPPING, INC. ORIGINAL BILL OF LADING PARTICULARS FURNISHED BY SHIPPER Container No.s w/Seal No.sl Marks & Numbers I Quantity I Packages Description of Packages and Goods I Gross Weight! Measurement (KGs) I (CBM) GRAND TOTAL: 300 BG(S) THREE HUNDRED BAG(S) ONLY 18300.000 0.000