Certificate of Origin

Exporter’s Name and Address Certificate No. 01

MEKONG HOLDING LY SOK INVESTMENT JSC.
15" floor, Thang Long Tower, No. 98 Nguy Nhu Kon Tum St.,
Thanh Xuan Dist.
(+84) 983-010605
Company's Tax ID: 0110385627
Consignee Name and Address Notify Party
C&D LOGISTICS GROUP CO., LTD.
27F C&D International Building, NO.1699 HUANDAO EAST
ROAD, XIAMEN, FUJIAN, CHINA.
(+86) 156-5980-9199
Company's Tax ID: 91350200705460373F
Exporting Carrier Country of Manufacture

Total Number of Packages Date of Export

Quantity / Weight (kg)

Marks & Numbers Commodity Description
Unit of Measure Gross Net

These commodities, technology or software were exported from the United States of America in accordance with the Export
Administration Regulations. Diversion contrary to U.S. law prohibited.

Dated at on the day of , 20...............Signature of Notary:

Sworn to before me this day of , 20..................Signature of Notary:

The , a recognized Chamber of Commerce under the laws of the State of

has examined the manufacturer's invoice or shipper's affidavit concerning the origin of the merchandise and, according to the best

of its knowledge and belief, finds that the products named originated in the .

Secretary:
FXF - SL235/503