CERTIFICATE OF ORIGIN |ShipperEsporter [Document No, [Booking No, JCECA SUPPLY & SERVICES INC. [9700 RICHMOND AVENUE, SUITS 201 [Exporting Reference HOUSTON, TEXAS 77042 TSA, [Reference No. OBX6231/14 ICRCA REF# 14/9343AsTS IKERUI REF¥ EC20140467 [Consignee [Forwarding Agent (Name & Address» Referens) |SHANDONG KERUI PETROLEUM EQUIPMENT CO.,LTD —_|GFAST, INC INO. 233, NAN "ER ROAD, DONGYING, 12700 GREENS ROAD BLDG G #200 JSHANDONG, PRC 257067 HOUSTON, TEXAS 77032 ut. 0646-6097007 Point Gtate) Of Onigin or PTZ Number usa Nott Party [Domestic Routing / Export Instructions ISAME AS CONSIGNEE Fre Carags By Pine of Recipe by Pre Carrer [Eeading Pier Period [Bxoorng Corier Vossen) [Pare of Landing t [ivveafiove [Goesinriand Wesel Oni) [Pon ofbischaree [Pace of Delve MARKS & NOS NO.OF PROS DESCRIPTION OF FAGRAGES AND GOODS GROSS WEIGHT MRASURNENT ELECTRIC MOTORS SHIPPED PER KERUT ORDER ¥ HC20140467 AND CECA REFERENCE # 14/9343A/TS 1 PALLET ELECTRIC MOTORS 418 Lbs 217 Kgs EX-WORKS: ‘THESE COMMODITIES, SOFTWARE, OR TECHNOLOGIES WERE EXPORTED FROM THE UNITED STATES IN ACCORDANCE WITH. EXPORT ADMINISTRATION REGULATIONS. DIVERSION CONTRARY TO U.S, LAW PROHIBITED, Mhe undersigned Gfast, nc, (Owner or Agent), does hereby declare for the above named shipper, the goods a Jon the above date and consigned as indicated and are products of THE UNITED STATES OF AMERIGA [ésted at HOUSTON. TEXAS om Dacember 29,2014 leseribed above were shipped. [sworn tofiffore me om Des ROBIN ANDERSON My Commission Expires July 3, 2015, fine HuMaLe CHAMBER OF COMMERCE ecAATRDRROTEm sah sire 10s eertiesinretance on the exporter’ representation and aot on te bai of independent veiation, that to the es of ts knowledge and let, eh products named in ths document eignated in UNTED STATES OF AMERICA putorcd signa lope) SIGNATURE OF OWNER OR AGENT