Check Number: Currency: USD ($) Address: A-6, lal bahadur nagar. City: J.L. Nehru marg. State/Province: Jaipur. Country/Region: India

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1 Voucher Voucher Number: Check Number: Paid: 12/15/2016 Charge To: Vendor Information Company Name: or Fax Number: Currency: USD ($) A-6, lal bahadur nagar J.L. Nehru marg Jaipur India Amount Paid ($) 25, Document List Summary: Document Number Description Purchase Request Purchase Order Receiving Report Amount Listed on Document 25,712 Amount Listed on Document 25,712 Amount Listed on Document n/a n/a Invoice Request Amount Listed on Document 25,712 Notes The company replied to our Invoice Request and indicated their accounting system does not produce invoices. They accepted the terms and pricing included in the Purchase Order. Signatures Karen Taylor Accounts Payable Manager 12/14/2016 Approval Signature Karen Taylor

2 Purchase Requisition Request Number: Requested: Charge To: Submitted By Required: Name: Takumi Nakamura ID Number: Sun Hamada Bldg., Shin-yokohama Yokohama City Kanagawa Japan Suggested Supplier Information Company Name: or Fax Number: Shipping Information Allow Partial Shipment Ship to Address Listed Above Ship Method: Ground Deliver To Name: EarthWear Receiving - Japan Japan.Receiving@ew.jp Kohoku-ku, Shin-yokohama Yokohama City Kanagawa Japan

3 Itemized List Currency: USD ($) Summary: Item Number Description Part Number Quantity 6489 Beaded Spring Flower Vest (Petite) Unit Price ($) Tax (%) Pre-Tax Price ($) , Beaded Spring Flower Vest (Medium) Total with Tax ($) 2, , , Beaded Spring Flower Vest (Large) , , Beaded Spring Flower Vest (XL) , , Subtotal ($) 24, Tax ($) 0.00 Shipping/Handling Cost ($) 1, Total ($) 25, Notes Signatures 中村拓海 Employee Signature Approval Signature Takumi nakamura Tsubasa watanabe 渡辺翼

4 Purchase Order Request Number: Requested: Purchase Order Number: Charge To: Ordered: Required: Vendor Information Company Name: or Fax Number: A-6, lal bahadur nagar J.L. Nehru marg Jaipur India Shipping Information Allow Partial Shipment Ship to Address Listed Above Ship Method: Ground Deliver To Name: EarthWear Receiving - Japan Japan.Receiving@ew.jp Address Line 1: Kohoku-ku, Shin-yokohama Yokohama City Kanagawa Japan

5 Itemized List Currency: USD ($) Summary: Item Number Description Part Number Quantity 6489 Beaded Spring Flower Vest (Petite) Unit Price ($) Tax (%) Pre-Tax Price ($) , Beaded Spring Flower Vest (Medium) Total with Tax ($) 2, , , Beaded Spring Flower Vest (Large) , , Beaded Spring Flower Vest (XL) , , Subtotal ($) 24, Tax ($) 0.00 Shipping/Handling Cost ($) 1, Total ($) 25, Terms Payment in full in 30 days of receipt of shipment FOB Shipping Point Notes Signatures 山田大和 Employee Signature Approval Signature Yamato Yamada Taisei Takahashi 高橋大翔 Authorized purchasing agent

6 Receiving Report Purchase Order Number: Required: Receiving Report Number: Received: Vendor Information Company Name: Shipping Information Delivered By Carrier: Orient Express Ship Bill Number: Delivered To Kohoku-ku, Shin-yokohama Yokohama City Kanagawa Japan Itemized List Summary: Item Number Description Part Number 6489 Beaded Spring Flower Vest (Petite) Beaded Spring Flower Vest (Medium) Beaded Spring Flower Vest (Large) Beaded Spring Flower Vest (XL) Quantity Received

7 Condition/Notes: Good Condition - No damage to packaging Signature 佐々木翔 Employee Signature Shou Sasaki Receiving Agent Japan

8 Invoice Request PO Number: Receiving Report No.: Received : Request : 11/30/2016 Description: Vendor Information Company: craft@datainfosys.net or Fax Number: A-6, lal bahadur nagar J.L. Nehru marg Jaipur India Requested By Name: Hikari Hayashi ID Number: hhayashi@ew.jp Itemization Currency: USD ($) Part Number Description Unit Price ($) Quantity Total Price ($) Beaded Spring Flower Vest (Petite) Beaded Spring Flower Vest (Medium) Beaded Spring Flower Vest (Large) Beaded Spring Flower Vest (XL) Notes , , , , Subtotal ($) 24, Shipping and handling $1,320. If we receive no response to this request within 10 days, we will assume the terms and prices of the Purchase Order are agreeable. Signature 林輝 Signature Hikari Hayashi Accounts Payable Agent Japan

Testing & Evaluation. Scoring Order Form Scoring Only. New to our scoring service? School Information. Need help? Call

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