Romania

Notary Public Office

Headquartered in ______, Street_____,

No___, _____County
Certificate of Authentication No…

Year……, Month…, Day….

Here before me, _________, a notary public, at the notary office headquarters,
personally appeared:

1) _________, residing in _________, Street __________, No ______,

Building_____, Ap ____, County______, identified with C.I. No____,
Series_________, issued by the Police _________;

2) _________, residing in _________, Street __________, No ______,

Building_____, Ap ____, County______, identified with B.I. Series ____,
No_________, issued by the Police________, whom after reading this document,
have consented to authenticate it and signed all copies.

According to Art 8, letter b of Law no 36/1995,

THE PRESENT DOCUMENT IS DECLARED AUTHENTIC
Stamp duty tax ______ lei with receipt No ______.
Judicial stamp ______ lei
The fee of ______ was collected with the receipt no______

Notary Public,