According to that I have delivered two copies of the act in question and of the documents
mentioned therein in registered envelope and with acknowledgement of receipt today to the
post office in Antwerp, to be sent to:
Meester P. SWIER
Bailiff
Maassluisstraat 98-100
1062 GE AMSTERDAM
THE NETHERLANDS
with the request to hand over one copy to the addressee according to the Dutch legislation and
to send back the remaining copy to me, undersigned bailiff, together with the act of this
delivery;
Furthermore have I, according to article 40 of Procedural Law, delivered a copy of the act in
question today to the Post Office in Antwerp, addressed to the addressee at her above
mentioned address, in registered envelope with the ordinary mail and with acknowledgement of
receipt;
I have attached the proofs of registration of these sendings to the original of the act in
question.
NOTED AS SUCH: date of the act.
COSTS: ten thousand thirty three francs, to be increased with the costs of delivery in The
Netherlands. Fiscal stamps will be attached to the original where needed.
The bailiff
[signature and stamp]