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Specialty Coffee Association of America

Green Coffee FOB, e & F, elF Contract

All parties represent that they are familiar with the provisions terms and conditions ()f

!he contracts of the SCAA in effect at 1he date hereo·

Contract no: Contract po: SUG106

Producers' ~P.. ___ .___Ex~~~I~' ~1-BUyer

Asosiasi Petani Kopi Cv, UIBl'lg Jaya Cooperatrve Coff8es

Orgamk-APKO I J1. Garuda 11 km. 13.8 I 302 W. lamar Street

JL Metuem No 4 I No95 Se'I Americus. GA 31709

I Medao, Inoonesia
'I'

Desa Kenawat Redciong Tel 514-907-9853 ext 3

Kec. Sukit, Kab gener i Tel: +6261 8453929 I Fax 229-924,6250

FLO 10 1341
Menah, NAD, Indonesia I Fax' -...621)1 8454070 i

, FLO IQ: 1821-'--'4'----_ _ _ _iC-:r,lO 10: 6117


Date: August 31, 2010
1. Quantity Three Huodred (300) Sags of 60 KlloyrcJlTlS Nt!1 Each,

ApprmClmatoly 18,000 KLlograms or 39.683lbs Net Weight.

2. Quatity Sumatra Gayo Mountain APKO Certified Fair Trade Organic

Grade 1 Semi-Washed Green Arabica Coffee.

3. Price To be fixed by selfflr's call before Aug. ·520'0. NY"C' dosed a:t

Contract Mar 201 1 + 0.10 Fair Trade prAmium + a 20


1>2 .3055 6Yl
Organ1c premium + 0.15 Quality = NY'·C ,. Mar 2011 + 0.45
SUS per fb or Minimum guaranteed 1.85 $US per lb. 21 September' ZoIO
4. Weight Basi.: Shipoed Weights .1 % weight franchise
5. Payment: Net Cash against documents.
6, Insurance: To ship, covered by Seller. From Ship 10 New York., account

or buyer.

7. Shipment: Dat.:~rnbtlr 2010. From seaport of Belawan, Indonesia

8. Destination: New York, NY


9. Remarks: 1. Tl1is coffee was traded according to international Fail

Trade criteria as established by FLO and certified by

TransFair.

2. Arbitration-Friendly, California if any


3. An organIC transaction certificate witl be issued.
4. Pre-shipment sample approval reqUIred
5. Bag!> Marked Fair Trade Coffee i Organic .. APKO
Coopefative Coffees
6. A document showing % of FOB pnce paid to the coop anu
%, of FOB price paid to the farmers is rcqUlred.
7. E"el)' Year Cooperative Coffees will viRit the coop to
Check wl'\at IS ttle % of Price paid to the farmers
Cv U' -------a-tive-C.,,--ofJ=e-e-s--­

(~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

COMMERCIAL INVOICE ORIGINAL


NO.14/UJ/C1/11I/2011

Issued By : SB&T Bank


201 E. lamar Street
Americus, GA 31709
Attn: Sam Hunter
Phone: (229) 924-0305
Fax: (229) 928-3747
For account Of Messrs : Cooperative Coffees Inc.
302 W. lamar St. Suite E.
Americus, GA 31709 USA
Tel. + 1-229-924-3035
Fax. +1-229-924-6250
Shipment From : Belawan - Indonesia to New York, NY
PerS.SI M.V : Sinar Biak V.238 Dated. April 04, 2010
Connectlng V esse APlJapan V 0128W
Marks & Number Description Of Goods Quantity Price frons Total Value
Mfrons USD USD
015/1607/14 1 X 20 ft CONTAINER
CV. UJANG JAYA FLO-ID 6117
CERTIFIED 100% ORGANIC 300 BAGS
ARABICA COFFEE APKO FLO-ID 18214
100% ORGANIC
"FLO FAIRTRADE"
ARABICA COFFEE APKO 18
SUMATRAN SEMI WASHED BEANS 7,297 131,346
CONTRACT# SUG106 FLO-ID 18214
COOPERATIVE COFFEES INC FLO-ID 1341
PRODUCT OF INDONESIA FAIR TRADE PREMIUM
2009/2010 HARVEST FEE 220 3.960
US NOP AND IFOAM CERTFIED FDA Regiestration No.
CERTIFIED ORGANIC 11271807930
NETI 60 KGS
1/300

FOB BELAWAN PORT 18 7,517 135,306


.
Say Us Dollar: One Hundred Thirty FIve Thousand Three Hundred SIX Only.

B/l NO. BlWNYC041121


CONTAINER & SEAL NO :

Medan, April 02,2010


HJCU8462970 / S / HB466432 Yourf althfully

~l~n~'

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

JL.TANGGUK BONGKAR IX NO.9OB MEDAN INDONESIP

TEL: 6261-8453929 FAX: 6261-8454070

FDA REGISTRATION NO.11271807930 SCAC CODE: UNSL

CONSIGNEE EXPORT REFERENCES:


COOPERATIVE COFFEES, INC MBL NO: HJSCBLWI00648400
302 W.LAMAR STREET SUITE E. FOR CARGO DEUVERY PLEASE CONTACT:

AMERICUS, GA 31709. USA

PHONE: +1-229-924-3035 FAX: +1-229-924-6250 UNIVERSAL SHIPPING ., INC

ATTN: BILL HARRIS 2855 SOUTH RESERVOIR STREET,

NOTIFY PARTY:
POMONA, CA 91766

EXCELCO TRADING L.P. TEL : (909) 628-2226 FAX: (909) 628-2221

17 BATTERY PLACE, SUITE 1010

NEW YORK, NY 10004

FORWARDING AGENT - REFERENCES:


PHONE: +1-212-344-6771 FAX :+1-212-344-8723

ATTN: GOERGE TSIASTSIOS

'PRECARRIAGE BY 'PLACE OF RECEIPT:


SINAR BIAK V.238 BELAWAN, INDONESIA CY
EXPORTING CARRIER: PORT OF LOADING: ON - CARRIAGE BY: NO. OF BILLS OF LADING'
APL JAPAN V.0128W BELAWAN, INDONESIA CY

PORT OF DISCHARGE: PLACE OF DELIVERY: FINAL DESTINATION:


NEW YORK NEW YORK

PARTICULARS FURNISHED BY SHIPPER


MARKS AND NUMBERS NO. OF PKGS. DESCRIPTION OF PACKAGES AND GOODS GROSS WEIGHT MEASUREMENT

CONTAINER I SEAL SHIPPER'S LOAD, STOW WEIGHT AND COUNT

HJCU8462970 I HB44 6432 1 X 20'STD CONTAINER: GW: 18,300. )0 KGS

MARKING: 300 BAGS NW: 18,000. OKGS

01511607114 100% ORGANIC ARABICA COFFEE APKO

CV UJANG JAYA FLO-ID 6 17 FLO-ID 18214

CERTIFIED 100% ORGANI


ARABICA COFFEE APKO FLO-ID 18214
" FLO-FAIRTRADE "
SUMATRAN SEMI WASHEI BEANS

CONTRACT # SUG106 "FREIGHT COLLECT"

COOPERATIVE COFFEES NC FLO-ID 1341

PRODUCT OF INDONESIA
200912010 I HARVEST

" CY/CY"

t:~R~T
e ~ n: ~:~:~'NALi
US NOP AND IFOAM CERT FlED
CERTIFIED ORGANIC
~.-.~ ~~~ •. ..,--=-
:'... './:" t
t!':.:..::' . ~ ~.
... --.---......,.~--- '" ,
~

..II=TTI>" ,,...

TOTA~ ~BER OF CONTAINERS OR ONE UNIT TWENTY CONTAINER ONLY


PACKAG~ljv(IN WORLD)

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.

MEDAN APRIL 04, 2011


Place and date of issue ----r----..,.,.-~,...-:.--,_--
signed on behalf of the Carrier:

By -------D5IIIIt:l!(J'L-~~ EXCESS VALUE CHARGE

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

NASAA CERTIFIED ORGANIC PTY LTD


UNIT 7,3 MY BARKER RD

NCO 314
STIRLING SOUTH AUSTRALIA 5152

3. Exporter of the product (Name & Address) 4. Control Body (Name & Address)"

CV. UJANG JAYA NASAA CERTIFIED ORGANIC PTY LTD

JL. TANGGUK BONGKAR IX 90B MEDAN 20226 UNIT 7.3 MT BARKER RD

INDONESIA STIRLING SA 5152

AUSTRALIA
(IFOAM accredited)
5. Producer or Processor of the product (Name & Address) 6. Country of Despatch

INDONESIA

CV. UJANG JAYA

JL. GARUDA 2 NO. 95 KM. 13,8 SEI SEMAYANG 6a. Port of discharge

BINJAI MEDAN 20351 INDONESIA BELAWAN, INDONESIA

7. First consignee of the product (Name & Address) 8. Country of Destination


USA

Cooperative Coffees Inc. 9. Address of the place of

302 W. Lamar St. Suite E. Destination

Americus, GA 31709 USA NEW YORK, NY

Tel. +1-229-924-3035 Cooperative Coffees Inc.

Fax. +1-229-924-6250 302 W. Lamar SI. Suite E.

Americus, GA 31709 USA


Tel. +1-229-924-3035
Fax. +1-229-924-6250

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

100%Organic Arabica Coffee APKO FLO-ID 18214 13. Alternative Units

300 BAGS

14. Declaration of the organisation issuing the certificate.


This is to certify that the products designated above have been obtained in accordance with the rules of production and
on inspection of the organic production method, as set out and monitored by the control organisation mentioned in Box *4

15. Additional declaration (if appropriate)


15a.lnclude products from growers
(Registration numbers) 8133PSLl
15b. Date of Departure April 03, 2011
15c. Vessel/Flight Details Sinar Biak V.238

16. Place of Issue of the certificate Stamp of the issuing organisation

Date: I I (!)4-/2..0i/

J o...d~ Lee fi~~


Name and signature of NASAA Executive Officer
NASAA CERTIFIED OR~ ANIC
PO BOX 768
STIRLING SA 5152
PH (08) 8370 8455
...Explanatory Notes. r....." ~
"~~V"'VOJOI

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

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