TAX PAYER ID: N 001-001-000000120ADDRESS: Cdla. Los JardinesPHONE: 2978442 IRS AUTHORIZATION N 41457889

DATE 12/3/2015 CITY: MachalaBILL TO : NORY TEXTILE FACTORY ID:DOCUMENT: Invoice N

VAT Income Tax Income TaxFISCAL YEAR CONCEPT TAXABLE % WITHOLDING FISCAL YEAR CONCEPT TAXABLE

2015 Income Tax 2800.00

SUBTOTAL SUBTOTALBALANCE DUtwenty eight

WITHOLDING:

CIA. ESPERANZA

WITHOLDING

The tax witholding form is used for witholding taxes to buying a seller.

070896541200112001

0708598751001

Income Tax% WITHOLDING

1% 28.00

28.00ENE CONC

WITHOLDING

WITHOLDING