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IN WITNESS WHEREOF the .... arner or their Agent has SIgned the number of Bills
of Lading stated at the top, all of thiS tenor and date, and wherever one original Bill
DECLARED VALUE (only applicable if Ad Valorem
Charges paid - see Clause 7.3)
PLACE AND DATE OF ISSUE
PUERTO BARRIOS, 28/06/2013
CARRIER'S RECEIPT (No. of Cntrs or Pkgs rcvd by Carrier
see Clause 14.1)
SHIPPED ON BOARD DATE
28/06/2013
of lading has been surrendered all other Bills of Lading shall be vol
4'::--:9=-::S=---------'U..... S'.E"'d'"it"'loc::n- ...
CERTIFICATE OF INSPECTION FOR PRODUCTS FROM ORGANIC PRODUCTION SYSTEMS
ACCORDING TO USDA NATIONAL ORGANIC PROGRAM
1. Issuing body or authority (name and address)
IMOSchweiz
Weststr.51
CH-8570 Wcinfclden
Switzerland
3. Serial number of the certificate of inspection
23429-NOP/668f711 of 1
5. Exponcr (name and address)
Exportadora Chajulense S.A.
Costado Iglesia Cat6lica, Cant6n Chajul
GT- ChajuL El Quiche
Guatemala
7. Producer or Preparer of product (name and address)
Asociaci6n Chajulense Va'l Vaq Quyol
14005 San Gaspar Chajul
GT El Quiche
Guatemala
10. First consignee (name and address)
Cooperative Coffees Inc.
302 W. Lamar St.
SuiteC
eS-31709 Americus, Georgia
Gnited States
12. Marks and numbers, container No(s). Number and kind. Trade
Coffee Arabica 12fl3, 100% organic, Lot No. 11-942-27
Container No. MEDU6060057
AWB or BtL No. MSCUGT296246, Dt. 28 J
Invoice N 000318, Dt, 24 Jun 2013
4. Void
6. Inspection body or authority (name and address)
IMOSchweiz
Weststr.51
CH8570 Weinfelden
Switzerland
8. Country of dispatch
Guatemala
11. Name and adress of the importer
Cooperative Coffees Inc.
302 W. Lamar SI.
Suite C
US31709 Americus,
Georgia
United States
13. Declared quantity
18'975.00 kg
i5. Deciaration of body or authority issuing the L
This is to certify that this certificate has been issued on the basis of the checks required and that the products designated above have been obtained in
accordance with the rules of production and inspection defined by the National Organic Program (NOP) and are found pursuant to the provisions of the
Organic Foods Production Act of 1990, as amended (7 e,s,c, 6501 el scq,)(OFPA), and the National Organic Standards thereunder (7 CFR 205,1 el seq.)
(NOS),
16 Ju12013
Date
AN 13739740509725
Narne and signature of the autoriscd person Stamp of issuing authority or body
Josefina Natus