PROFORMA INVOICE no. Consignee: Name of consignee SENDER: c/o ExpoSped Sp. z o.o. ul. Pradzynskiego 12/14 01-222 Warszawa Event: COP19/CMP9 WARSZAWA 2013 PL-03901 Warszawa, Al.Poniatowskiego 1 Stadion Narodowy TEL: FAX Participant................................................................. Stand ................. Show/Venue/Date : COP19/CMP9 WARSZAWA 2013 TEMPORARY import goods – The goods are exported for the purpose of exhibition and display and are FREE OF CHARGE. The goods belong to the exhibitor and will be returned to the Country of Origin after the exhibition. CASE NO. ITEM NO. DETAILED DESCRIPTION OF GOODS IN ENGLISH INCLUDING SERIAL NUMBERS / MODEL NUMBERS / TARIFF NUMBERS I hereby certify that information on this invoice is true and correct and that the contents of this shipment are as stated above QTY CARRIED FORWARD TOTAL AMOUNT TOTAL PRICE EUR WEIGHT KG Gross/Net LENGTH CMS WIDTH CMS Goods without commercial value EUR Net weight kg ............................... (Name of Signatory) Place and date of issue: TERMS OF DELIVERY HEIGHT CMS DAP Warsaw Gross weight kg COUNTRY OF ORIGIN Value only for customs purposes