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MEDITERRANEAN SHIPPING COMPANY S.A. BILL OF LADING No.

MSCUGT39SS27
"PonAo-Port" or "Combined
TranSf)ort" (see Clause 1)

ORIGINAL

12-14, chemin Riau, 1208 GENEVA, Switzerland

Website: www.mscgva.ch
SCAC Code . MSCU

f
NO, & SEQUENCE OF ORIGINAL B/L's

INO,OF RIDER PAGES

1fTHR FF.

Nil.

SHIPPER:
COOPERATlVA AGRICOLA Y DE SERVICIOS VARIOS RIO AZUL, R,L
CANTON SAN SEBASTIAN JACALTENANGO. HUEHUETENANGO
fDA 12187950056

FORWARDING AGENT:

CONSIGNf[fI~~ ~\h~':'R0b'l"t<'CJ~~~Ru~lrfi{jr'etffi!E~~~rr I To Order of. ," here.

CARRIER'S AGENTS ENDORSEMENTS: (Include Agent(s)


FCl/Fel Special contract: 15-126WW
Lloydsllmo number ~ 9326823
DESTINATION AGENT ADDRESS:MSC NEW YORK
Medilenanean Shippmg Company (USA) Inc.
420. 5TH A VENUE
(AT 37TH STREET) 8TH FLOOR
NEW YORK, N.Y. 100182702
Phone' tI 212764 4800, fax: +1 212 764 8592
FAVOR EMBARCAR "UNDER DECK"
"NO HOOKS"

302 W LAMAR S1 SUITl E 31709


AMERICUS. GEORGIA. USA
TEL: "1229-9243035 FAX: + 1-229-924-6250

NOTIFY PARTIES: (No responsibility shall attach to the Carrier or to his Agent for failure to notify. see
Clause 20)COOPERATI\" COFFEES, INC FLO ID 1341
:102 W LAMAR ST SUITE E.
AMERICUS, GA 31709 USA
TEL: 1..229-9243035 FAX. 1-229-924-6250 ATTN CHELSEA CARTER

PORT OF LOADING

VESSEL & VOYAGE NO. (see Clauses 8 & 9)

HAMMONIA EMDEN LE520A


l~l SERVICE CONTRACT NUMBER
495ZFB5194953 803

PARTIC ULARS

PLACE OF RECEIPT: (Combined Transport ONLY .. see Clauses 1 & 5,2)

XXXXXXXXXXXXXXXXXXXXX

PUERTO BARRIOS

BOOKING REF.

BY THE

FURNISHED

Container Numbers, Seal


Numbers and Marks

PORT OF DISCHARGE

PLACE OF DELIVERY,df0mbined Tranx;0rt ONLY

XXXXXXXX

NEW YORK

SHIPPER -NOT CHECKED

XXXXXXX XXX

11-9549..003
l'SDA SHB
ORGANIC
FAIR TRADE
COOP RIO AZUL
FLO ID 720
CERTIFIED ORGANIC
BYMAYACERT
PROCESSED BY
SERBEN CERTIFIED
BY BCS OKO GARANTIE
OMBH UNITRADE
FLO ID "270
COOPERA TIVE

LU

see Clauses 1 & 5.2)

BY CARRIER - CARRIER NOT RES P 0 N SIB L E - See Clause 14

Description of Packages and Goods


(Continued on attached Bill of Lading Rider page(s), if applicable)

at POD)

I Gross Cargo Weight

Measurement

l." I K(~)

244 BAGS
CLEAN COFFEE BEANS
NET WEIGHT: 1683600KG
eER T OF ORIGIN: 4942
REF: GUR151

COfFEES
FLO ID 1341

MSCU6227699i20'DV
TARE: l.100kg
SeaLEU04614M3

"

TOTAL TARE. 2100.00 KG

TOTALS:

6948.240 KG

0.0000 M3

6948.240 KG

rOOOOM3

If abOve commodities, technology or software were exported from the USA, th~ export administration regUlations must be complied with by the Merchant DiverSIon, contrary to U.S. law is prohibited

FREIGHT & CHARGES

Cargo shall not be delivered unless Freight & Charges are paid (see Clause 16).

RECEIVED by the Carrier in apparent good order anC: condition (unless otherwise
stated herein) the total number or c:uantity of Containers or other packages or units
indicated in the box entitled Ca. (ier's Recdiot for car~'I@ge sub;ect to aU the terms
and conditions hereof from the Place of Receipt or Port of loading to the Port of
Discharge or Place of Delivery, whichever is applicable, IN ACCEPTING THIS BILL
OF LADING THE MERCHANT EXPRESSLY ACC<:PTS AND AGREES TO ALL
THE TERMS AND CONDITIONS, W>-IETHER PRINTED, STAMPED OR
OTHERWISE INCORPORATED ON THIS SIDE ANi) ON THE "EVERSE SIDE OF
THIS BILL OF LADING AND THE TERMS AND CO~'DITIf)NS OF THE CARRIER'S
APPLICABLE TARIFF AS IF THEY WERE ALL SIGNED BY THE MERCHANT

If this is a negotiable (To Order I of) Bill of ~ading, one origi"al ail: of Lading, duly
Mej'cham to the Carrier (together wtth
endorsed must be surrendered by
10' the G')ods or a Delivery Order. If
outstanding Freight and charges) in
the Garrier shall deliver the Goods
Inis is a non-negotiable (straight) Bill of
or issue a Delivery Order (after paymen: 01 outstandIng Freight and charges)
against the surrender of one onginal Bill of Lading or in accordance with the
national law at the Port of Discharge or Flaoo of Delivery whichever is applicable.
IN WITNESS WHEREOF the Canier or their Agent has signed the number of Bills
of Lading stated at the top, all of this t'3nor ami date, arc' wherever one original Bill
of Lading has been surrendered all other Bills of Lading shall be void.

DECLARED VALUE (only applicable if Ad Valorem


Charges paid - see Clause 7.3)

CARRIER'S RECEIPT (No, of Cntrs or Pkgs rcvd by Carrier


see Clause 14,1)

PLACE AND DATE OF ISSUE

SHIPPED ON BOARD DATE

SIGNED on behalf of the Carrier MSC MeJiterranean Shippin~ Company SA

GUATEMALA CITY. 1910512015

495

..

U.S. EdItion - 01/2013

1910512015
TERMS CONTINUED ON REVERSE J

N,E~:;:TERRANEAN SHIPPI~

COMPANY GUATEMALA, S.A.


as agent only Solo como eoent "
MSC
.)

173078598

Number:

COOP AGRICOLA R~O AZUL_NOP_2015-077/01 GT

MAYACERT

COMERCIAL TRANSACTION CERTIFICATE

ORGANIC PRODUCTS

2.

1.

Mayacert S.A.
18 Calle 7-25 Zona II Colonia Mariscal
Guatemala ciudad.
PBX: (502) 24633333
3. Exporter of the product (Name and Address):

4.

Control Organism (Name and Address):


Mayacert S.A.
18 Calle 7-25 Zona 11 Colonia Mariscal
Guatemala ciudad.
PBX: (502) 24633333
6. Exporting Country:
Guatemala

COOPERA TIV A AGRICOLA Y DE SERVIC[OS VARIOS


"RIO AZUL" R.L,
Cant6n San Sebastian, Jacaltenango, Huehuetenango. Guatemala.

No. Cert. Master: 2015077


5.

Producer of the product (Name and Address):

COOPERATIV A AGRICOLA Y DE SERVICIOS VARIOS


"RIO AZUL" R.L.
Canton San Sebastian, Jacaltenango, Huehuetenango, Guatemala.

7.

No. Cert. Master: 2015077


Destiny of the product (Name and Address):

COOPERATIVE COFFEES, INC.


302 W. LAMAR ST. SUITE E.
AMERICUS. GA 31709 USA

Rule NOPJUSDA; Agreement No. 1173-99 of the


Ministry of Agriculture, Livestock and alimentation
of the Republic of Guatemala.

8.
9.

Country of Destiny:
USA
Address of Destiny:

COOPERATIVE COFFEES, INC.


302 W. LAMAR ST. SUITE E.
AMERICUS. GA 31709 USA

11. Gross Weight (kg):


16,948.24
12. Net Weight (kg):
16,836.00
13. Other Unities:

10. Marks and numbers, number of containers,


characteristics, commercial denomination of the
product:
PRODUCT: Green Coffee
MARKS: 11-9549-003
USDA SHB EP ORGANIC FAIR TRADE COOPERATIVA
RIO AZUL RL FLO ID 720 CERTIFIED ORGANIC BY
MAYACERT PROCESSED BY SERB EN CERTIFIED BY
BCS OKO GARANTIE GMBH UNITRADE FLO ID 2270
COOPERATIV A COFFEES FLO ID 1341
CONTAINER: MSCU6227699
VESSEL NAME: HAMMONIA EMDEN LE520A
BL No: MSCUGT395527_ DTD: MAY 18,2015

244 Bags of Coffee.


INVOICE:
PRODUCER TO EXPORTER: 063-RIO AZUL
DTD: MAY 20, 2015
EXPORTER TO CUSTOMER: 063-Rio AZUL
DID: MAY 20, 2015

14. Declaration of the expeditor Organism of the Certificate. By means of the present document the above

mentioned products are certified to be obtained by complying with the production norms and by
inspection of these norms set for organic production, which are proved by the Organism mentioned in box
4.

Mayacertl COOPERATIVA AGRICOLA Y DE SERVICIOS VARIaS "RIO AZUL" R.L.I Organic certified coffee
accordin to NOPIUSDA re ulation certificate number 2015-077
Additional Declarations (when needed ....... --
15. Place of expedition of the Certificate:
Seal of the expedito~~anism:
Guatemala
~\" ~t;'-t
Name, Surname and signature
~
~
Hugo Santizo.
/'
\If
(':II
::)

Date: Ma 25, 2015

?-.AIIA".

Nox
otes: R
'bl 0
.
,
hi'
. h the ru es mentloned set lor
c
od .
met~ t'llK'gamc pr uctJon.
B 4 : esponsl e rgamsm to Contro t e comp ymg WIt
Box 5: Business that has effected the last operation (transformation, packing, labeling) of the lot of products.
Box 9: Address of the Business to which the products will be delivered, different from the one in box 7.
Box 13: When the product is liquid, besides filling box's 11 and 12, it's necessary to indicate the volume in liters.