| 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 | Alain Jolivet | Attn | Alain Jolivet | | | | | | | | | | | | | | | | | | | | |
| Company: | Valeant Pharmaceuticals Intl | Company: | Valeant Pharmaceuticals Intl | | | | | | | | | | | | | | | | | | | | |
| Address: | 2150, Boul. St. Elzear West | Address: | 2150, Boul. St. Elzear West | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | |
| City/State/Zip: | Laval, Quebec H7L 4A8 Canada | City/State/Zip: | Laval, Quebec H7L 4A8 Canada | | | | | | | | | | | | | | | | | | | | |
| Phone/Fax | (514) 956-6135 | Phone/Fax | (514) 956-6135 | | | | | | | | | | | | | | | | | | | | |
| Email | Alain.Jolivet@valeant.com | Email | Alain.jolivet@valeant.com | | | | | | | | | | | | | | | | | | | | |