<table><tr><th>1. From (Collection Address)</th><th></th></tr><tr><td>Sender's Account No.: 001570162_</td><td>TNT</td></tr><tr><td>Name: Sportclox.com..</td><td></td></tr><tr><td>Address: The Courage Wolston grange_</td><td></td></tr><tr><td>Casipit Lane.</td><td></td></tr><tr><td>City: Rugby Postal/Zip Code, CV23 SHJ</td><td>Please quote this Numbe</td></tr><tr><td>Province _ Country: United Kingdom.</td><td>d you have an enquiry.</td></tr><tr><td>Contact Name: steve marshall Tel No 0247.54555</td><td>GE552340710WW</td></tr><tr><td>2. To (Receiver)</td><td>A. Delivery Address</td></tr><tr><td>Name: swim club</td><td>Name:</td></tr><tr><td>Address: EC</td><td>Address:</td></tr><tr><td>-6100 Red Hook Quarters, Suite 3</td><td></td></tr><tr><td>City: S: Thomas Postal/Zip Code: 0002_</td><td>City Postal/Zip Code:</td></tr><tr><td>Province Country: Virgin Islands</td><td>Province: Country</td></tr><tr><td>Contact Name: Tel No</td><td>Contact Name:, Tel No:</td></tr><tr><td>3. Goods</td><td>B. Dutiable Shipment Details</td></tr><tr><td>General Description_</td><td>Receiver's VAT/TVA/BTW/MWST No..</td></tr><tr><td>clock_</td><td></td></tr><tr><td></td><td></td></tr><tr><td></td><td>C. Special Delivery Instructions</td></tr><tr><td>Stat No 773 Check</td><td></td></tr><tr><td>Total Packages Total Weight 6.000kgs Total Volume: 0.096</td><td></td></tr><tr><td>4. Services</td><td></td></tr><tr><td>Service ECONOMY EXPRESSION DOCEL</td><td>D. Customer Reference</td></tr><tr><td>Options NON DANGEROUS GOODS</td><td></td></tr><tr><td></td><td>E. Invoice Receiver (Receiver's Account number)</td></tr><tr><td>SENDER TAYS</td><td>Received by TNT Receiver
by (Name):
Copy</td></tr><tr><td>Sender's Signature Dale 30 Q2012</td><td>Dave Time,</td></tr><tr><td>STMILITY PE 67, HE SANITE HERENT THE WOMEN; sc</td><td>UK 105 201</td></tr></table>