Professional Documents
Culture Documents
5. Exporter (name and address) 6. Inspection body or authority (name and address)
Cooperativa Agricola Cafetalera San Juan Ltda. - CAC SAN JUAN IMO Schweiz
LTDA. Weststr. 51
San Juan, Carrasco La Reserva CH-8570 Weinfelden
BO- Caranvi, La Paz Switzerland
Bolivia
10. First consignee in the USA (name and address) 11. Name and adress of the importer
Cooperative Coffees Inc. Cooperative Coffees Inc.
302 W. Lamar St. 302 W. Lamar St.
US-31709 Americus, GA US-31709 Americus,
United States GA
United States
12. Marks and numbers, container No(s). Number and kind. Trade name of the product 13. Declared quantity
Coffee Arabica 2008, 100% organic, Lot No. 1-91-2 19'250.00 kg
06 Jan 2009
Date
AN122812849799104
Name and signature of the autorised person Stamp of issuing authority or body
Ulla Bohlig