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ICP Invoice

Invoice Date
Invoice # ICP 149236 17-January-2018
Billing Address: Mailing Address:

Bonefro Attn: Maximiliano Franciosi


Attn: Maximiliano Franciosi Angel Freile 2945
angel freile 2945 Rada Tilly, Chubut 9001
Rada Tilly 9001 Argentina
Argentina
All payments must be made in United States currency. Checks / Money Order must be drawn from a U.S. bank. You
are responsible for all taxes, banking or other service fees, including all applicable withholding taxes. If you are
paying by electronic transfer, please note (1) you are responsible for all electronic transfer, A.C.H. and banking
fees; (2) for electronic payments not drawn on a U.S. bank a fifty-dollar ($50) handling fee must be added at
the time payment is made; and (3) you must reference the Invoice # ICP 149236 above. Thank you.

Quantity Product Code Description Amount

1 ICP570ReCert ICP 570 Recertification for Pressure Piping 31-December-2017 $700.00


1 ICPLateApp ICP - Late Application fee 31-December-2017 $150.00
ICP ID: 33418 Subtotal $850.00

TOTAL $850.00
Please return a copy of this invoice with your Payment Received $0.00
payment. Balance Due $850.00

Send Checks By Mail To: Send Wire Transfers To: Send Correspondence To:
American Petroleum TD Bank Individual Certification
Institute 1030 15th St NW Programs
P.O. Box 1425 Washington, D.C. 20005 USA API
Merrifield, VA 22116-1425 ABA Routing # 054001725 (ACH) 1220 L Street NW
USA ABA Routing # 031101266 (Wire) Washington, D.C. 20005-4070
Credit To American Petroleum Phone: 202-682-8064
REFERENCE: ICP 149236 Institute Fax: 202-682-8348
Account # 4251303172 email:
SWIFT: NRTHUS33 inspector@api.org
REFERENCE: ICP 149236

United States Federal Tax ID No. 13-0433-430 maxif_86@hotmail.com

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