Date of Issue Page Invoice #

02/08/2020 1/1 8914148814

Debit Memo Shipment # Delivery # Payer #
Signify North America Corporation
200 Franklin Square Dr 10024235
Somerset, NJ 08873
ORU: 166071
Sales Rep Sales Terr Purchase Order #
EIN: 04-3391805
ECCN#: EAR99 MISC US0083 RBWM122019-0
License Type: N.L.R. CONSUMER HQ
Bill To Sold To 10024235

**********DO NOT MAIL************* CLEAResult

**********DO NOT MAIL************* 4301 WESTBANK DRIVE BLDG A STE 300
**********DO NOT MAIL************* AUSTIN TX 78746

Pay To Agent Release: Sales Order #

Signify North America Corporation
PO Box 100194 70657321
ATLANTA GA 30384-0194 Invoice Ref. Country of Destination
RBWM122019-0 United States
Ship To 10024235 Terms of Delivery and Payment
CIP
CLEAResult
AUSTIN
4301 WESTBANK DRIVE BLDG A STE 300
60D after invoice date
AUSTIN TX 78746
Up to 04/10/2020 without deduction

Item Material Quantity Price Per Amount

Typenumber / Description Volume Currency: USD

010 STT-013 1 PCE 4,022.00 / 1 PCE 4,022.00

MISC. A13 SSL BUY FOR RESALE

Items Total: 4,022.00

Final Totals: 0 CASES 0 LB 0.000 0 LB 4,022.00

Utility Name: DUKE ENERGY INDIANA

Rebate Type: LED
MOU Nbr: DEI_2020
Invoice Dates: 1/1/2020 to 1/15/2020
Invoice Amount: $4,022.00
Invoice SKUs: 443 Total Bulbs: 897
Philips Contact: Renee Burger
Utility charges for the funding they are providing for
LED SKUs ONLY in the participating Walmart stores.
The invoice amount is based on the invoice SKU's sold
through the registers in the stated time period.

Handling Codes: U00 Order Reason: 000 Total Taxes: 0.00

TERMS OF SALE: BY ACCEPTING THIS INVOICE, PURCHASER IS DEEMED TO HAVE ACCEPTED, AS INCORPORATED HEREIN BY REFERENCE, Signify TERMS
AND CONDITIONS OF SALE. PLEASE VISIT OUR WEBSITE AT www.signify.com/global/conditions-of-commercial-sale. FOR DETAILS OF OUR TERMS AND
CONDITIONS. THESE ITEMS ARE CONTROLLED BY THE U.S. GOVERNMENT AND AUTHORIZED FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE
DESTINATION FOR USE BY THE ULTIMATE CONSIGNEE OR END-USER(S) HEREIN IDENTIFIED. THEY MAY NOT BE RESOLD, TRANSFERRED, OR OTHERWISE
DISPOSED OF, TO ANY OTHER COUNTRY OR TO ANY PERSON OTHER THAN THE AUTHORIZED ULTIMATE CONSIGNEE OR END-USER(S), EITHER IN THEIR
ORIGINAL FORM OR AFTER BEING INCORPORATED INTO OTHER ITEMS, WITHOUT FIRST OBTAINING APPROVAL FROM THE U.S. GOVERNMENT OR AS
OTHERWISE AUTHORIZED BY U.S. LAW AND REGULATIONS. CORRESPONDENCE REGARDING ORDERS SHOULD BE DIRECTED TO CUSTOMER SERVICE.
WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6, 7, AND 12 OF THE
FAIR LABOR STANDARDS ACT, AS AMMENDED, AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER
SECTION 14, THEREOF.