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C Cii'Contract: Fob, & In'" ""Ili'Inlo"T"
C Cii'Contract: Fob, & In'" ""Ili'Inlo"T"
America
Green Goffee FoB, c & F; cii'contract
All parties represent are familiar with the provisions,
the contracts of the !!qt lnev
sc*
in'"*""ili'inlo"t" hereof terms and conditions of
Contract Number:
Contract Nun
Producers'group fber: SUB101
!\vpEr6r rfattul Vlradh Buver
Baburrayyan (KBets),
CBI GLOBA.TRADE_ANI'- L ooperative
INVESTIVIENT, INC. Coffees. Inc.
302 W. Lamar Sireei
iT ISU Datu Beru. Kebayakan,
PO Box 18, 24501 Takenson
Level l, Lot 7, Block F
Americus, GA3l70g
Sa€uking Commercial Building
FLO lD 5416 Tel. 514-907-9853 ext 3
Jalan Patau-patau, g7000 Labu
Fax229-924-6250
F.T. Malaysia
FLO tD 1341
FLO ID 20819
I. Body issuing lhe certificate (name and address) 2.The National Organic Program standards o f the United States Department o f
Control Union certifications B.V. Agriculture/Control Union Certifications standards
Meeuwenlaan 4-6 Reference number of the certificate: PRJ 803507IJ0689I
8011 BZ ZWOLLE
NETHERLANDS
3. Scller of the product (name and address) 4. Inspection body' (name and address)
KBQ Baburrayyan Control Union certifications B.V.
Tetunyung Lorong 1, No. 115 Mccuwenlaan 4-6
24511 Takcngon, Aceh Tengah 8011 BZ ZWOLLE
Nanggroe Aceh Darussalam NETHERLANDS
INDONESIA
5. Producer or processor of the product· (name and address) 6. Country of dispatch
KBQB Brastagi INDONESIA
JI. Jamin Ginting No. 77Brastagi
SlImatera Utara
INDONESIA
7. Consignee (name and address) 8. Country of destination
UNITED STATES
Cooperative Coffees Inc.
302 Lamar Street Suite E
GA J 1709 Americus
9. Address and place of deslirullion'
UNITED STATES
Excelco Trading L.P.
17 Ballery Place Suile 10 I 0
IO()()4 New Yorl<
NY
UNITED STATES
10. MarkB and numbers, container no(s), number and kind. Trade name of the product. II. Gross mass
Production Lolfbalch Gross mass Nef mass
NOP certified (100% organic / organic)
Year nLUnbers (k.gs) (kgs) 19520.00 kgs
~
'WI
'Explanatory notes
Box 4: TI,e inspection and certificatioD body for J,mpliance wilh the rules on from organic product.ion methods ..
Box 5: The firm which carried out the I.a st operation (processing, packaging, labdling) on the batch.
Box 9: The address of tbe fiml where the batch will be delivered, if different from the address i.n box 7.
Box 13: e.g. volum" in meters, to be given, where appropriate, in su pplemellt 10 the declarations in boxes I I and 12.
1 of 1
CONTROL UNION CERTIFICATIONS