DATE: 04/05/2020

1. Экспортер (имя, адрес, страна)/Exporter (name , address, ORIGINAL № RU-91087-2 country)

“LLC PURNEFTEGAS СЕРТИФИКАТ ПРОИСХОЖДЕНИЯ LOCATED AT YAMAL-NENETS AUTONOMOUS OKRUG, GUBKINSKY CITY, MICRODISTRICT 10, 3.RUSSIA CERTIFICATE OF ORIGIN FEDERATION.

FORM A

2. CONSIGNEE(NAME, ADDRESS, COUNTRY)/ГРУЗОПОЛУЧАТЕЛЬ

Выпускается в Российской Федерации

ADDRESS:

Issued in the Russian Federation

3. Средства транспорта и маршрут / Means of Transport and 4. Для официального использования / For Official Use Route By VESSEL/PIPELINE/ Port

5. СТРАНА ПРОИСХОЖДЕНИЯ / COUNTRY OF ORIGIN 6. Дополнительные сведения / Supplementary details

RUSSIAN FEDERATION

7. Номер предмета/ 8. Описание товаров / Description of Goods 9. Количество и вид 10. Вес брутто или Item Number упаковок / Number другая величина

and kind of packages /Gross weight or

1. RUSSIAN Aviation Kerosene Fuel

PIPELINE/VESSEL. other quantity

1,000,000(One Million Barrels)

11. Cертификация /Certification 12. Заявление экспортера /Declaration by the exporter

It is hereby certified, that the declaration by The undersigned hereby declares that the above The exporter is correct details and statements are correct; that the goods

are of origin of the country shown in box № 5; that the

LENINNGRAD REGION CHAMBER OF COMMERCE AND INDUSTRY Goods are exported to ROTTERDAM. Russian Federation 190000,Saint-Petersburg,Konnogvardeisky blvd.,3

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Place, date, stamp and signature of certifying authority Place, date, stamp and signature of authorized signatory

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