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Purchase Order

Bill to: Date P.O. No.


7880 San Felipe St, Suite 105 Fortesa International Inc
Houston, TX 77063 USA 7880 San Felipe St, Suite 105 6/27/2015 2015326 R1
Phn: 713-278-2727 * Fax 713-278-2718 Houston, TX 77063 USA

Vendor Account # Ship To

Bently Nevada, Inc. Fortesa International, Inc.


1631 Bently Parkway South 7880 San Felipe Street, Suite # 105
Minden 89423-4119 NV US Houston, TX 77063-1602
Attn.: Lee Ann Ryan Attn.: Joe Wells
281 542 0205 Phone: 281 443 3222

Email: christine.champion@ge.com

Terms Ship Date Ship Via Vendor Reference No.

PrePaid 6/27/2015 UPS Ground 20631329

Line Part No. Description Class Usage Req No. Qty U/M Unit Cost Amount

Revision 01 - Changing
Quantity for items 1 and 2
from 2 each to 1 each and
deleting item 3 and 4 and
changing shipping to UPS
Ground
Please Ship UPS Regular
and Bill Fortesa's UPS
Account # XR 1342
1 21500-00-08-05-02 21500-00-08-05-02 EXPLO Elmago 701 EU ... 1 ea 807.00 807.00
7200 5MM PROXIMITY Brake
PROBE Drawworks
2 21747-045-00 21747-045-00 EXPLO Elmago 701 EU-... 1 ea 439.00 439.00
EXTENSION CABLE Brake
Drawworks

Non-Taxable for Export Requisitioned By: Approved By:


Tax I.D. # 1-76-0544879-8
P.O. Created by Marie Barnes Bob McKnight David M. 6/29/2015 Total USD 1,246.00

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