| F1 | F2 | F3 | F4 | F5 | F6 | F7 | F8 | F9 | F10 | F11 | F12 | F13 | F14 | F15 | F16 | F17 | F18 | F19 | F20 | F21 | F22 | F23 | F24 |
| | BILL TO | | SHIP TO | | | | | | | | | | | | | | | | | | | | |
| Attn | Annie | Attn | Annie | | | | | | | | | | | | | | | | | | | | |
| Company: | C&A Trading Co. Ltd. (Shanghai Dehao) | Company: | Shanghai Dehao Electronics Co., Ltd. | | | | | | | | | | | | | | | | | | | | |
| Address: | Unit 23A, 18th Floor, Wah Lok Industrial Centre | Address: | Bldg. D1, No. 479 Chundong Road | | | | | | | | | | | | | | | | | | | | |
| | 37-41 Shan Mei Street, Fotan, Hong Kong | | Xinzhuang Industry District, 201108, Shanghai | | | | | | | | | | | | | | | | | | | | |
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| City/State/Zip: | , | City/State/Zip: | , China | | | | | | | | | | | | | | | | | | | | |
| Phone/Fax | 864-938-1704 +86-21-54429554 | Phone/Fax | +86-21-54831771*826 +86-21-54429554 | | | | | | | | | | | | | | | | | | | | |
| Email | | Email | | | | | | | | | | | | | | | | | | | | | |