PHUQUY STONE & MINERAL JSC

Add: HopThanh block, Quyhop town, Quyhop District, Nghean province, S.RVietnam Tel: 84-038-3983525; Fax: 84-038-3983525

Date: Sept 16, 2011 To: APL VIETNAM, HANOI BRANCH.

TELEX RELEASE REQUISITION FORM

Dear Sirs, We hereby request to release cargo(es) to below mentioned consignee(s) as stipulated on Bill of Lading(s) without the presentation of any original Bill of Lading(s). We hereby agree to indemnify you to hold you harmless in respect of any liability, loss or whatsoever which you may sustain by reason of the delivery of the goods in accordance with our mentioned request.
B/L No. Vessel /Voyage Port of Loading Port of Discharge / Final Destination Consignee (full name, address and telephone)

TARIEK AL-WAHID TRADING CO.,

APLU 074425980

RIO LAWRENCE/085

HAIPHONG PORT, VIETNAM

UMM QASR, IRAQ

ALAMREA, BAGHDAD CITY, IRAQ TEL:

000647702965566/000647700004916/ 000647901828654

For and on behalf of [shippers full company name]

[Signature with official company seal] Name in print: Title: DIRECTOR Contact telephone:

*The person sign this undertaking and indemnity represents, warrants and guarantees that he/she has full and proper legal authority to do so on behalf of the party for whom he/she signs.
QFCSU006 OVCL01/07