Professional Documents
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HOD111
HOD111
PAGE: 1
Cooperative Coffees*
302 West Lamar St. SALESPERSON: JC
Suite C CUSTOMER NO: 0000904
Americus GA 31709
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~ /~ IIYflORlDCERnFlEOllY'l'llfINSI'AIR USA.
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ROYAL COFFEE, INC, ~;' : ,
3306 POWELL STREET ,j
EMERYVILLE. CA 94608
****** INVOICE ******
3306 POWELL ST. EMERYVILLE. 94608
PAGE: 1
IN CALIFORNIA: OUT OF STATE:
(510) 652-4256 (800) 843-0482
~EF #
"ARkS
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91 HONDURAS FT ORG RS 3.9845 47,963.34
Green Coffee HOD 111
MKD: 2520/254 Hondo FTO RS D12037.48#
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When this invoice is issued, coffee stands in the name of the consignee, therefore at their own risk.
****** INVOICE ******
3306 POWELL ST, EMERYVILLE, 94608
PAGE: 1
IN CALIFORNIA: OUT OF STATE:
(510) 652-4256 (800) 843-0482
CONTRACT NO:
0280818
Cooperative Coffees*
ORDER DATE:
12/03/10
302 West Lamar St.
SALESPERSON:
JC
Suite C
Americus
GA 31709
CUSTOMER NO: 0000904
TERMS:
50 From Avail
DUE DATE I 05/16/11
- -"~ ',ct,
t(
When this invoice is issued, coffee stands in the name of the consignee, therefore at their own risk.
DESCAFEINADORES MEXICANOS, S.A. DE C. V.
Km. 341 Carr. Cordoba - Veracruz, Zona Industrial C.P.94690 Cordoba, Ver. Tel. y Fax (271) 712 70 66
Emeryville, CA 64608
181 OC1A Intemacional/IFOAM (Cafe de sombr.) 181 NOP DlAS
Programas de equivalencia:
D UE2092/91 D Olro:
* Marqll~ Il'S pr/JgrlJ/tlllS urtifictUlos por OeM, illcluyendll para ell/; el Ca/i de Smnbra (Esttindnus ()(1A~/FOAM Ii Cafe
Amigttbl. con I. Aves (SMBq
Tel: 5106524256 Fax 510652 3050
Correo electronico: No. de Miembro: 2795 Nombre del responsable del servicio 1 procesamiento: Ing. Alejandro Margnez Mendez
Fecha del Entrada de maquila(dlm/a): 02-02-/1 Firma del proveedor del servicio: I Fecha (dim/a): 11-02-11
Entrada de producto Salida de producto
Resultado de maquila
Tipo de Producto / Fecha de Cantidad # Lote en Tipo de producto Fecha de (K s.) # Lote 016
Materia prima ingreso (Kgs.) Verde procesado Salida -2520
Entregado Merma
3. Expolter of the product (naille and address) 4. Conlrol body' (name and address)
BENEFICIO SANTA ROSA S.A. Blo l.atina SAC.
BO. MIRAFLORES, CARRETERA INTERNACIONAL, SALIDA Av. NCllalcs N' 670. Lima 11. Peril
HACIA SAN PEDRO SULA Tol: +51-1- 4232924
HONDURAS, C.A Fax: +51-1-4247773
FLO 10:10466 E-mail: cenhal@biolati.c:.".a.....-=.c.::.:OI. ..llCl!=-:w.---_ _ _ _ _ _ _ _ _ _ _-1
COCAFCAL HONDURAS
FLO 10:19080
17260.00
250 BAGS OF 69KG EACH OF HONDURAS WASHED ARABICA COFFEE SIiG -EP FLO
LOTES 76 BENEFICIO SANTA ROSA HOC PRODUCT OF HONDURAS WASHED ARAI3ICA COFFEE
CROP 10/11 SHG -EP FLO FAIRTRADE 100% ORGANIC COFFEE CEHTIFIED BY BfOLATINA
ROYAL COFFEE FLO 10: 1193 COCAFCAL FLO 10:19080 CONTRACT NO. 24160,13-123-50, FDA
REG 19978651626
NATIONAL' X
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OTHEn
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• regulallons of lhe country ind:caled In box 6
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15 Ad<Wonal Decl3ration
ThIS IS 10 ceMy 11131 Ihe ,Koducls tles'gnales above have been obtarned in accordance With rules of produclion and Inspecllon of Ihe orgJmc production melhod
which ace cOI1s<:Jered equivalenl in accordanc~ w,lh Ihe provlS!ons of Iho Nalronill OrganiC Program - USDA -. as sel out and monllored by Ihe conlcol body
f-r,:-;l1",en..cli-';00n",oo-=-c...ln-;ooc'-"-x-'.4--;-;-;-__-;-;--:-_______________ -;;-;c--,-:-;---,---;--;-------------------------------------j
16 Plilce of issue of the Ccrlrf'C<lto Siamp allno IssUIng body
Date: January .6, 2011.£.. .",' () [1/1, .
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HO';"I' -.!i,.~'(i;J~~;;rCs'
t,\ aging'Dire til);}
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8ox5 The I~m Wich carried 0111 tha last operahon (processing. packaging. IJbetllng) on Iho batch
8ox() The add-ess of Ure f.rrn whore Iho batch w,'1 be delivered. if d!lf~ent from Ihe "ddress In !lox 7
80:<13 eg volume in Mres III case 01 IIquds, 10 l" given. whero apprQlXiate. in sUjlplemenlta the declaralian In boxes 11 and 12
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