Official Form 410 Proof of Claim

Similar documents
Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim 12/15

Name of the current creditor (the person or entity to be paid for this claim) City State ZIP Code

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim 04/16

Official Form 410 Proof of Claim

Case LSS Doc 876 Filed 09/09/16 Page 1 of 3 UNITED STATES BANKRUPTCY COURT DISTRICT OF DELAWARE

Official Form 410 Proof of Claim 04/16

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Official Form 410 Proof of Claim

Case 2:18-bk ER Doc 1236 Filed 01/11/19 Entered 01/11/19 13:14:38 Desc Main Document Page 1 of 9

Case Doc 87 UNITED Filed STATES 05/11/15 BANKRUPTCY Entered 05/11/15 COURT14:37:19 Desc Main

mew Doc 3018 Filed 04/02/18 Entered 04/02/18 17:13:58 Main Document Pg 1 of 5

Case 2:18-bk ER Doc 1517 Filed 02/08/19 Entered 02/08/19 16:59:00 Desc Main Document Page 1 of 19

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

FORM CHANGES EFFECTIVE 12/1/15 OUTLINE

Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals 12/15

Debtor: Dextera Surgical Inc. Claim No. 13 January

Case BLS Doc 283 Filed 03/19/18 Page 1 of 6 IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Case BLS Doc 284 Filed 03/19/18 Page 1 of 6 IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE

Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/16

Official Form 113 Chapter 13 Plan 12/15

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

ADVANCED FIRE & SAFETY, LLC STE com 219 SANDHURST LAFAYETTE.

Health Care Business Single Asset Real Estate as defined

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 04/16

Official Form 113 Chapter 13 Plan 12/17

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Case Document 508 Filed in TXSB on 01/26/17 Page 1 of 6 IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS

LOCAL FORM 4 August 1, IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA [insert correct division name] DIVISION

UNITED STATES BANKRUPTCY COURT DISTRICT OF VERMONT

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy 12/15

Case KCF Doc 1 Filed 01/09/14 Entered 01/09/14 00:40:48 Desc Main

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy

Case Doc 1 Filed 03/28/14 Entered 03/28/14 10:58:30 Desc Main Document Page 1 of 9 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy 12/15

IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF NEBRASKA

STATEMENT OF FINANCIAL INTERESTS

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 04/16

FILED: NEW YORK COUNTY CLERK 08/23/ :42 PM. Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy INDEX NO.

Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/16

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy 12/17

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 12/15

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF KANSAS STANDING ORDER 09-2 CONDUIT MORTGAGE PAYMENTS IN CHAPTER 13

UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF KENTUCKY DIVISION IN RE: CASE NO. Original Amended Date:

Official Form 101 AMENDED. Case DSC13 Doc 18 Filed 04/24/18 Entered 04/24/18 08:14:40 Desc Main Document Page 1 of 7.

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/16

UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA DIVISION. AMENDED (if applicable) CHAPTER 13 PLAN

Case Doc 1 Filed 03/16/12 Entered 03/16/12 16:00:02 Desc Main Document Page 1 of 7

Voluntary Petition for Non-Individuals Filing for Bankruptcy

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/16

United States Bankruptcy Court. Voluntary Petition. District of Minnesota County of Residence or of the Principal Place of Business: Hennepin

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION

Case TLM Doc 1 Filed 08/04/09 Entered 08/04/09 10:57:17 Desc Main Document Page 1 of 9

Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/16

ANNOTATED VERSION of Chapter 13 Plan Form effective 2/1/2014

UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA

TRUSTEE S QUESTIONNAIRE

BUSINESS EXAMINATION QUESTIONNAIRE Office of the Chapter 13 Standing Trustee, Isabel C. Balboa, Esquire

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

ASBESTOS INDIRECT CLAIM FORM

FINANCIAL INTERESTS (TO BE FILED WITHIN 60 DAYS OF LEAVING PUBLIC OFFICE OR EMPLOYMENT)

Voluntary Petition THIS SPACE FOR COURT USE ONLY UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA

REGENTBANK CREDIT APPLICATION

Case KJC Doc 944 Filed 09/15/15 Page 1 of 7 IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF DELAWARE

Case Doc 1 Filed 03/20/12 Entered 03/20/12 14:58:27 Desc Main Document Page 1 of 8

Case KG Doc 258 Filed 06/28/18 Page 1 of 8

IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF OHIO

Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

LOCAL BANKRUPTCY FORM NO. 5 IN THE UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF PENNSYLVANIA CHAPTER 13 BUSINESS CASE QUESTIONNAIRE

NEW ACCOUNT & CREDIT APPLICATION. SHIP TO: (If different from Bill To) How would you like to receive invoices? (Choose 1) Fax ( /Fax#)

Case Doc 1 Filed 11/22/13 Entered 11/22/13 09:54:10 Desc Main Document Page 1 of 6

UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA DIVISION. [AMENDED (if applicable)] CHAPTER 13 PLAN

STATEMENT OF FINANCIAL INTERESTS

BUSINESS CASE QUESTIONNAIRE

NEWARK-FREMONT LEGAL CENTER BANKRUPTCY WORKSHEET

Case Doc 1 Filed 04/25/12 Entered 04/25/12 15:43:42 Desc Main Document Page 1 of 13

Nature of Business (Check one box)

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA DIVISION CHAPTER 13 PLAN. Extension ( ) Composition ( )

Transcription:

Claim #116 Date Filed: 1/9/2018 Fill in this information to identify the case: LaPorte Power, LLC Debtor United States Bankruptcy Court for the: District of Delaware (State) Case number 17-12383 Official Form 410 Proof of Claim 04/16 Read the instructions before filling out this form This form is for making a claim for payment in a bankruptcy case Do not use this form to make a request for payment of an administrative expense Make such a request according to 11 USC 503 Filers must leave out or redact information that is entitled to privacy on this form or on any attached documents Attach redacted copies or any documents that support the claim, such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts, judgments, mortgages, and security agreements Do not send original documents; they may be destroyed after scanning If the documents are not available, explain in an attachment A person who files a fraudulent claim could be fined up to 500,000, imprisoned for up to 5 years, or both 18 USC 152, 157, and 3571 Fill in all the information about the claim as of the date the case was filed That date is on the notice of bankruptcy (Form 309) that you received Part 1: Identify the Claim 1 Who is the current creditor? AIR PRODUCTS AND CHEMICALS, INC Name of the current creditor (the person or entity to be paid for this claim) Other names the creditor used with the debtor 2 Has this claim been acquired from someone else? 3 Where should notices and payments to the creditor be sent? Where should notices to the creditor be sent? Federal Rule of Bankruptcy Procedure (FRBP) 2002(g) Yes From whom? AIR PRODUCTS AND CHEMICALS, INC Steve Parks Name 7201 HAMILTON BLVD ALLENTOWN, PA 18195 Number State Contact phone Contact email Name Street City Where should payments to the creditor be sent? (if different) Number ZIP Code 610-481-5815 parkssg@airproductscom Street City State ZIP Code Contact phone Contact email Uniform claim identifier for electronic payments in chapter 13 (if you use one): 4 Does this claim amend one already filed? Yes Claim number on court claims registry (if known) Filed on MM 5 Do you know if anyone else has filed a proof of claim for this claim? Official Form 410 / DD / YYYY Yes Who made the earlier filing? Proof of Claim 1 g7m1,*dr Vk«1712377171214103650000054 page 1

Part 2: Give Information About the Claim as of the Date the Case Was Filed 6 Do you have any number you use to identify the debtor? Yes Last 4 digits of the debtor s account or any number you use to identify the debtor: 9634 7432 7 How much is the claim? 184,95803 Does this amount include interest or other charges? Yes Attach statement itemizing interest, fees, expenses, or other charges required by Bankruptcy Rule 3001(c)(2)(A) 8 What is the basis of the claim? Examples: Goods sold, money loaned, lease, services performed, personal injury or wrongful death, or credit card Attach redacted copies of any documents supporting the claim required by Bankruptcy Rule 3001(c) Limit disclosing information that is entitled to privacy, such as health care information Monthly invoicing for O and M contract associated with managing Laporte Facility 9 Is all or part of the claim secured? Yes The claim is secured by a lien on property Nature or property: Real estate: If the claim is secured by the debtor s principle residence, file a Mortgage Proof of Claim Attachment (Official Form 410-A) with this Proof of Claim Motor vehicle Other Describe: Basis for perfection: Attach redacted copies of documents, if any, that show evidence of perfection of a security interest (for example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has been filed or recorded) Value of property: Amount of the claim that is secured: Amount of the claim that is unsecured: (The sum of the secured and unsecured amount should match the amount in line 7) Amount necessary to cure any default as of the date of the petition: Annual Interest Rate (when case was filed) % Fixed Variable 10 Is this claim based on a lease? Yes Amount necessary to cure any default as of the date of the petition 11 Is this claim subject to a right of setoff? Yes Identify the property: Official Form 410 Proof of Claim page 2

12 Is all or part of the claim entitled to priority under 11 USC 507(a)? Yes Check all that apply: Amount entitled to priority A claim may be partly priority and partly nonpriority For example, in some categories, the law limits the amount entitled to priority Domestic support obligations (including alimony and child support) under 11 USC 507(a)(1)(A) or (a)(1)(b) Up to 2,850* of deposits toward purchase, lease, or rental of property or services for personal, family, or household use 11 USC 507(a)(7) Wages, salaries, or commissions (up to 12,850*) earned within 180 days before the bankruptcy petition is filed or the debtor s business ends, whichever is earlier 11 USC 507(a)(4) Taxes or penalties owed to governmental units 11 USC 507(a)(8) Contributions to an employee benefit plan 11 USC 507(a)(5) Other Specify subsection of 11 USC 507(a)( ) that applies 13 Is all or part of the claim pursuant to 11 USC 503(b)(9)? * Amounts are subject to adjustment on 4/01/19 and every 3 years after that for cases begun on or after the date of adjustment Yes Indicate the amount of your claim arising from the value of any goods received by the debtor within 20 days before the date of commencement of the above case, in which the goods have been sold to the Debtor in the ordinary course of such Debtor s business Attach documentation supporting such claim Part 3: Sign Below The person completing this proof of claim must sign and date it FRBP 9011(b) If you file this claim electronically, FRBP 5005(a)(2) authorizes courts to establish local rules specifying what a signature is A person who files a fraudulent claim could be fined up to 500,000, imprisoned for up to 5 years, or both 18 USC 152, 157, and 3571 Check the appropriate box: I am the creditor I am the creditor s attorney or authorized agent I am the trustee, or the debtor, or their authorized agent Bankruptcy Rule 3004 I am a guarantor, surety, endorser, or other codebtor Bankruptcy Rule 3005 I understand that an authorized signature on this Proof of Claim serves as an acknowledgement that when calculating the amount of the claim, the creditor gave the debtor credit for any payments received toward the debt I have examined the information in this Proof of Claim and have reasonable belief that the information is true and correct I declare under penalty of perjury that the foregoing is true and correct Executed on date 01/09/2018 MM / DD / YYYY /s/steven G Parks Signature Print the name of the person who is completing and signing this claim: Name Steven G Parks First name Middle name Last name Title Company Collection Supervisor NA Air Products and Chemicals Identify the corporate servicer as the company if the authorized agent is a servicer Address Number Street City State ZIP Code Contact phone Email Official Form 410 Proof of Claim page 3

Debtor: 17-12383 - LaPorte Power, LLC District: District of Delaware Creditor: AIR PRODUCTS AND CHEMICALS, INC Steve Parks 7201 HAMILTON BLVD ALLENTOWN, PA, 18195 Phone: 610-481-5815 Phone 2: 484-866-5154 Fax: Has Supporting Documentation: Yes, supporting documentation successfully uploaded Related Document Statement: Has Related Claim: Related Claim Filed By: Filing Party: Authorized agent Email: parkssg@airproductscom Other Names Used with Debtor: Basis of Claim: Monthly invoicing for O and M contract associated with managing Laporte Facility Total Amount of Claim: 184,95803 Has Priority Claim: Has Secured Claim: Amount of 503(b)(9): Based on Lease: Subject to Right of Setoff: Submitted By: Title: Company: Steven G Parks on 09-Jan-2018 12:19:09 pm Pacific Time Collection Supervisor NA Air Products and Chemicals Amends Claim: Acquired Claim: Last 4 Digits: Yes - 9634 7432 Includes Interest or Charges: Priority Under: Nature of Secured Amount: Value of Property: Annual Interest Rate: Arrearage Amount: Basis for Perfection: Amount Unsecured: Uniform Claim Identifier:

<APCI>319634 406174407 US15 US EN 1 002 5006197 N Y 0 N 60680-4725</APCI> Air Products, LLC (610)481-4911 Exporter EIN 26-0261004 wwwairproductscom Page: 1 of 2 EXTEX LAPORTE LIMITED PARTNERSHIP EXELON BUSINESS SVC ACCTS PAYABLE PO Box 804725 BALTIMORE MD 60680-4725 : 406174407 Date: 10/19/2017 Bill-To : 319634 Account Number: 319634 CustVAT : Delivery Terms: DDP DELIVERY POINT Payment Terms: Net 45 days date of invoice Contact: STEWART, STACY Telephone: 610-481-6718 Fax: 610-706-5538 Email: STEWARS3@airproductscom Copies of s and Delivery tes are available on wwwairproductscom/apdirect If you have any further questions relating to your, please contact STEWART, STACY immediately on 610-481-6718 Quantity - Price unit: TO = 1000 KG KM = 1000 M KG = Kilogram H = Hours L = Litre M3 = Cubic meter EA = Each LB = Pounds NM3 = rmal Cubic Meter FTS = 1scf (70F, 1atm) & FTU= 1000FTS FTR = 1scf (60F, 1atm) & FTT= 1000FTR Summary Product Price 50,06197 Net value 50,06197 Total to be paid USD 50,06197 Purchase Order Number: 1036826 RELEASE 8 Payment Reference: 406174407 (Please quote this reference when making your payment) Please pay the above invoiced amount to the bank account, or to the company, as indicated below on or before the Payment Due date Please remit ACH/WIRES payment in US Dollars to Air Products LLC Wells Fargo, Charlotte, NC, 28262 ACH ABA 031100225 Wires ABA 121000248 (Swift Code WFBIUS6S) ACCT2079980022823 Payment Due Date: 12/03/2017 To the maximum extent permitted by law, Seller shall not be liable under any liability theory for damage claims greater than the price of the product shipment or service giving rise to the claim

<APCI>319634 406174407 US15 US EN 2 002 5006197 N Y 0 N 60680-4725</APCI> Air Products, LLC (610)481-4911 Exporter EIN 26-0261004 wwwairproductscom Delivery Details Currency: USD Date: 10/19/2017 : 406174407 Page: 2 of 2 Item Product Detail Quantity Price Price Unit Value Reimbursable Charges for LaPorte, TX for September 2017 Purchase Order /Date: 1036826 RELEASE 8 / Release : Purchase Order/Reference : 1036826 RELEASE 8 Ship From: Delte//Date 1128780024 / / / 0010 15525 48,880720 EA REIMBURSABLE COST Product Price 100 USD 1 EA 48,88072 Purchase Order /Date: 1036826 RELEASE 8 / Release : Purchase Order/Reference : 1036826 RELEASE 8 Ship From: Delte//Date 1128780024 / / / 0020 15557 267240 GAL RAW H20 Product Price 100 USD 1 GAL 26724 Purchase Order /Date: 1036826 RELEASE 8 / Release : Purchase Order/Reference : 1036826 RELEASE 8 Ship From: Delte//Date 1128780024 / / / 0030 15557 914010 GAL DEMINERALIZED WATER Product Price 100 USD 1 GAL 91401 Net value 50,06197 Total to be Paid 50,06197 For Domestic Use Only Diversion contrary to US and Regional law is prohibited These items may be subject to licensing from both the US and the exporting country Various Itemized Charges: The total amount due from the customer may include various itemized charges, including: charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials; charges for handling, delivery, and shipping; and/or charges for energy or fuel ne of the charges represent a tax or fee paid to or imposed by any governmental authority, and all of the charges are retained by the Company

<APCI>319634 406384073 US15 US EN 1 002 2599372 N Y 0 N 60680-4725</APCI> Air Products, LLC (610)481-4911 Exporter EIN 26-0261004 wwwairproductscom Page: 1 of 2 EXTEX LAPORTE LIMITED PARTNERSHIP EXELON BUSINESS SVC ACCTS PAYABLE PO Box 804725 BALTIMORE MD 60680-4725 : 406384073 Date: 11/16/2017 Bill-To : 319634 Account Number: 319634 CustVAT : Delivery Terms: DDP DELIVERY POINT Payment Terms: Net 45 days date of invoice Contact: STEWART, STACY Telephone: 610-481-6718 Fax: 610-706-5538 Email: STEWARS3@airproductscom Copies of s and Delivery tes are available on wwwairproductscom/apdirect If you have any further questions relating to your, please contact STEWART, STACY immediately on 610-481-6718 Quantity - Price unit: TO = 1000 KG KM = 1000 M KG = Kilogram H = Hours L = Litre M3 = Cubic meter EA = Each LB = Pounds NM3 = rmal Cubic Meter FTS = 1scf (70F, 1atm) & FTU= 1000FTS FTR = 1scf (60F, 1atm) & FTT= 1000FTR Summary Product Price 25,99372 Net value 25,99372 Total to be paid USD 25,99372 Purchase Order Number: 1036826 RELEASE 8 Payment Reference: 406384073 (Please quote this reference when making your payment) Please pay the above invoiced amount to the bank account, or to the company, as indicated below on or before the Payment Due date Please remit ACH/WIRES payment in US Dollars to Air Products LLC Wells Fargo, Charlotte, NC, 28262 ACH ABA 031100225 Wires ABA 121000248 (Swift Code WFBIUS6S) ACCT2079980022823 Payment Due Date: 12/31/2017 To the maximum extent permitted by law, Seller shall not be liable under any liability theory for damage claims greater than the price of the product shipment or service giving rise to the claim

<APCI>319634 406384073 US15 US EN 2 002 2599372 N Y 0 N 60680-4725</APCI> Air Products, LLC (610)481-4911 Exporter EIN 26-0261004 wwwairproductscom Delivery Details Currency: USD Date: 11/16/2017 : 406384073 Page: 2 of 2 Item Product Detail Quantity Price Price Unit Value Reimbursable Charges for LaPorte, TX for October 2017 Purchase Order /Date: 1036826 RELEASE 8 / Release : Purchase Order/Reference : 1036826 RELEASE 8 Ship From: Delte//Date 1129047802 / / / 0010 15525 25,777840 EA REIMBURSABLE COST Product Price 100 USD 1 EA 25,77784 Purchase Order /Date: 1036826 RELEASE 8 / Release : Purchase Order/Reference : 1036826 RELEASE 8 Ship From: Delte//Date 1129047802 / / / 0020 15557 143000 GAL RAW H20 Product Price 239 USD 1000 GAL 034 Purchase Order /Date: 1036826 RELEASE 8 / Release : Purchase Order/Reference : 1036826 RELEASE 8 Ship From: Delte//Date 1129047802 / / / 0030 15557 67,781000 GAL DEMINERALIZED WATER Product Price 318 USD 1000 GAL 21554 Net value 25,99372 Total to be Paid 25,99372 For Domestic Use Only Diversion contrary to US and Regional law is prohibited These items may be subject to licensing from both the US and the exporting country Various Itemized Charges: The total amount due from the customer may include various itemized charges, including: charges for the handling of hazardous materials and for compliance with laws and regulations concerning hazardous materials; charges for handling, delivery, and shipping; and/or charges for energy or fuel ne of the charges represent a tax or fee paid to or imposed by any governmental authority, and all of the charges are retained by the Company

<APCI>319634 406254399 US15 US EN 1 002 8798895 N Y 0 N 60680-4725</APCI> Air Products, LLC (610)481-4911 Exporter EIN 26-0261004 wwwairproductscom Page: 1 of 2 EXTEX LAPORTE LIMITED PARTNERSHIP EXELON BUSINESS SVC ACCTS PAYABLE PO Box 804725 BALTIMORE MD 60680-4725 : 406254399 Date: 11/01/2017 Bill-To : 319634 Account Number: 319634 CustVAT : Delivery Terms: DDP DELIVERY POINT Payment Terms: Net 45 days date of invoice Contact: STEWART, STACY Telephone: 610-481-6718 Fax: 610-706-5538 Email: STEWARS3@airproductscom Copies of s and Delivery tes are available on wwwairproductscom/apdirect If you have any further questions relating to your, please contact STEWART, STACY immediately on 610-481-6718 Quantity - Price unit: TO = 1000 KG KM = 1000 M KG = Kilogram H = Hours L = Litre M3 = Cubic meter EA = Each LB = Pounds NM3 = rmal Cubic Meter FTS = 1scf (70F, 1atm) & FTU= 1000FTS FTR = 1scf (60F, 1atm) & FTT= 1000FTR Summary Product Price Product Price 87,98895 Net value 87,98895 Total to be paid USD 87,98895 Purchase Order Number: 1036826 Release 8 Payment Reference: 406254399 (Please quote this reference when making your payment) Please pay the above invoiced amount to the bank account, or to the company, as indicated below on or before the Payment Due date Please remit ACH/WIRES payment in US Dollars to Air Products LLC Wells Fargo, Charlotte, NC, 28262 ACH ABA 031100225 Wires ABA 121000248 (Swift Code WFBIUS6S) ACCT2079980022823 Payment Due Date: 12/16/2017 To the maximum extent permitted by law, Seller shall not be liable under any liability theory for damage claims greater than the price of the product shipment or service giving rise to the claim

<APCI>319634 406254399 US15 US EN 2 002 8798895 N Y 0 N 60680-4725</APCI> Air Products, LLC (610)481-4911 Exporter EIN 26-0261004 wwwairproductscom Delivery Details Currency: USD Date: 11/01/2017 : 406254399 Page: 2 of 2 Item Product Detail Quantity Price Price Unit Value Purchase Order /Rel : 1036826 Release 8 / Item : 0 Contract: 45000495 Date: 12/01/2017-12/31/2017 0060 7719 1 EA START UP FEE Item Net Value 44,99813 USD 1 EA 44,99813 Purchase Order /Rel : 1036826 Release 8 / Item : 0 Contract: 45000495 Date: 12/01/2017-12/31/2017 0070 7719 1 EA MANAGEMENT FEE Item Net Value 42,99082 USD 1 EA 42,99082 Net value 87,98895 Total to be Paid 87,98895 Price escalation descriptions: ECI1: EMPLOYMENT COST INDEX\COMPENSATION, PRIVATE INDUSTRY WORKERS\TOTAL\NOT SEASONALLY ADJUSTED\SOURCE: BLS, EMPLOYMENT COST INDEX PRESS RELEASE 12788 average for 12 months ending June 2017 For Domestic Use Only Diversion contrary to US and Regional law is prohibited These items may be subject to licensing from both the US and the exporting country

<APCI>317432 406259078 US10 US EN 1 002 2091339 N Y 0 N 60680-4725</APCI> Air Products and Chemicals, Inc GST 123600835 RT0001 QST 102753981 TQ0001 Exporter EIN 231274455 wwwairproductscom Page: 1 of 2 EX TEX LAPORTE LIMITED PARTNERSHIP EXELON BUSINESS SVC ACCTS PAYABLE PO Box 804725 CHICAGO IL 60680-4725 : 406259078 Date: 11/01/2017 Bill-To : 317432 Account Number: 317432 CustVAT : Delivery Terms: DDP DELIVERY POINT Payment Terms: Net 30 days date of invoice Contact: STEWART, STACY Telephone: 610-481-6718 Fax: 610-706-5538 Email: STEWARS3@airproductscom Copies of s and Delivery tes are available on wwwairproductscom/apdirect If you have any further questions relating to your, please contact STEWART, STACY immediately on 610-481-6718 Quantity - Price unit: TO = 1000 KG KM = 1000 M KG = Kilogram H = Hours L = Litre M3 = Cubic meter EA = Each LB = Pounds NM3 = rmal Cubic Meter FTS = 1scf (70F, 1atm) & FTU= 1000FTS FTR = 1scf (60F, 1atm) & FTT= 1000FTR Summary Product Price Product Price 20,91339 Net value 20,91339 Total to be paid USD 20,91339 Purchase Order Number: 1036826 RELEASE 5 Payment Reference: 406259078 (Please quote this reference when making your payment) Please pay the above invoiced amount to the bank account, or to the company, as indicated below on or before the Payment Due date Please remit checks to Air Products and Chemicals P O Box 935430 Atlanta GA 31193-5430 Payment Due Date: 12/01/2017 To the maximum extent permitted by law, Seller shall not be liable under any liability theory for damage claims greater than the price of the product shipment or service giving rise to the claim

<APCI>317432 406259078 US10 US EN 2 002 2091339 N Y 0 N 60680-4725</APCI> Air Products and Chemicals, Inc GST 123600835 RT0001 QST 102753981 TQ0001 Exporter EIN 231274455 wwwairproductscom Delivery Details Currency: USD Date: 11/01/2017 : 406259078 Page: 2 of 2 Item Product Detail Quantity Price Price Unit Value Purchase Order /Rel : 1036826 RELEASE 5 / Item : 0 Contract: 45000498 Date: 12/01/2017-02/28/2018 0040 15510 1 EA ADJUSTED BASE RENT Ship-To: 317432 =BASE RENT + BASE RENT (CPIc - CPIb)/CPIb Item Net Value 20,91339 USD 1 EA 20,91339 Net value 20,91339 Total to be Paid 20,91339 Price escalation descriptions: CPIb: CPIc: US CONSUMER PRICE INDEX\ALL URBAN\HOUSTON-GALVESTON-BRAZO\ALL ITEMS\UNITS 1982-84=100\SOURCE: BLS, CONSUMER PRICE INDEX 15248 average for 12 months ending August 2000 US CONSUMER PRICE INDEX\ALL URBAN\HOUSTON-GALVESTON-BRAZO\ALL ITEMS\UNITS 1982-84=100\SOURCE: BLS, CONSUMER PRICE INDEX 21524 average for 12 months ending August 2016 For Domestic Use Only Diversion contrary to US and Regional law is prohibited These items may be subject to licensing from both the US and the exporting country