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OFFICIAL TRANSLATION FROM PERSIAN

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IN THE NAME OF GOD
Tehran Province Gas Company

Previous reading date: 02.09.2014


Current reading date: 23.09.2014
Previous Number of Counter: 167916
Current Number of Counter: 168302
Consume In M3: 386
Payable Amount: 1681000 Payment Due Date: 02.11.2014
Payment Identity: 168112700 Bill Identity: 0227823006238

Name:
Address: #
Subscription No. 003227823096 Address Code: 423009640000
Counter Serial No.: 0016078059 Number of Unit: 004
Series No.: 00304815937490 Type of Consumption: Household
File No.: 821041 Postal Code: 1464745981
Group: B Number of units: 5 Capacity: 25

Consumed gas price: 428820


Previous debt: 1102000
Miscellaneous debt: 0
VAT & municipality duty: 39166
Insurance: 1726
Debt balance: 0
Balance less than Rls.1 000: 641
Subscription: 59030
Gas conveying duties: 50180
Monthly consumption of one unit: 111
Less than Rls.1 000: 563
Number of debt: 1

Address:
Telephone No.:

Subscription No. 003227823096 Payment Identity: 168112700


Series No. 00304815937490 Payable Amount: 1681000
Bill Identity No. 0227823006238 Payment Due Date: 02.11.2014
True translation certified.

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