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All parties represent that they are familiar with the provisions terms and conditions ()f
I Medao, Inoonesia
'I'
FLO 10 1341
Menah, NAD, Indonesia I Fax' -...621)1 8454070 i
3. Price To be fixed by selfflr's call before Aug. ·520'0. NY"C' dosed a:t
or buyer.
TransFair.
(~v. UJANCj JA Y A
lllit EXPORT - IMPORT
Office: J1 Tangguk Bongkar IX No.90B Medan - Indonesia
TeIp / Fax ;·(62-619 8453929 - 8454070
Warehouse: JI. Garuda 2 No.95 KIn.B.8 Sei Semayang - Binjai - Medan
Email: u74ng@indosat.net.id
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LJSI
SlJ~N~'~VE~R~SAI. SHIPPING. INC.
BILL OF LADING
CTPAT NO. 72545308 OTI LICENSE NO. 17577NF
SHIPPER/EXPORTER: DOCUMENT NO. I
BILL OF LADING NO
BLWNYC041121
CV.UJANG JAYA DOMESTIC ROUTINGIEXPORT INSTRUCTION
NOTIFY PARTY:
POMONA, CA 91766
PRODUCT OF INDONESIA
200912010 I HARVEST
" CY/CY"
t:~R~T
e ~ n: ~:~:~'NALi
US NOP AND IFOAM CERT FlED
CERTIFIED ORGANIC
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RECEIVED by the Carrier the Goods as specified above in apparent good order and condition FREIGHT CHARGES PREPAID COLLECT
unless otherwise stated, to be transported to such place as agreed, authorized or permitted hereon
and subject to all the terms and conditions appearing on the front and reverse of this Bill of Lading
to which the merchant agrees by accepting this Bill of Lading, any local privileges and customs
notwithstanding.
FREIGHT COLLECT
The particulars. given above as stated by the shipper and the weight, measure, quantity condition,
contents and value of the Goods are unknown to the Carrier.
In WITNESS whereof one (1) original Bill of Lading has been signed if not otherwise stated above
the same being accomplished the other if any to be void if required by the Carrier one (1) Original
Bill of Lading must be surrendered duly endorsed in exchange for the goods of delivery order.
TOTAL CHARGES
CERTIFICATE FOR IMPORT INTO NON EUROPEAN COMMUNITY COUNTRIES OF
PRODUCTS OBTAINED ACCORDING TO ORGANIC PRODUCTION METHODS
1. Body Issuing the Certificate (Certifying Body) 2. Reference Number
(Name & Address) Article Reference Number of the Certificate
NCO 314
STIRLING SOUTH AUSTRALIA 5152
3. Exporter of the product (Name & Address) 4. Control Body (Name & Address)"
AUSTRALIA
(IFOAM accredited)
5. Producer or Processor of the product (Name & Address) 6. Country of Despatch
INDONESIA
JL. GARUDA 2 NO. 95 KM. 13,8 SEI SEMAYANG 6a. Port of discharge
10. Marks & Numbers, Container No(s),Number & Kind Trade Name of the Product 11. Gross Weight (kg)
015/1607/14 Cv. UJANG JAYA FLO-ID 6117 CERTIFIED 100% ORGANIC 18,300
ARABICA COFFEE APKO FLO-ID 18214 "FLO-FAIRTRADE" SUMATRAN SEMI
WASHED BEANS CONTRACT# SUG106 COOPERATIVE COFFEES INC FLO-ID 1341
PRODUCT OF INDONESIA 2009/2010 HARVEST US NOP AND IFOAM CERTFIED
CERTIFIED ORGANIC NED 60 KGS 1/300 12. Nett Weight (kg)
18,000
HJCU8462970 1S 1HB446432
300 BAGS
Date: I I (!)4-/2..0i/
NOP ACCREDITED
Box 4: Control body for monitoring compliance with the rules on organic production methods
Box s: The firm which carried out the last operation (processing, packaging, labelling) on the batch
Box 9: The address of the tlrm where the batch wI! be delivered, ifdifferent Irom the address in box 7
Box 13: e.g. volume in htres in case ofhquids, to be given, where appropriate, in supplement to the declarations in boxes II and 12