ATTENTION: CANADA CUSTOMS

Exporter:

Name:____________________________________________
Address:__________________________________________
City:_____________________________________________
State:____________________ zip_________________ USA

Consignee:
KITCO MINERALS & METALS INC.
620 CATHCART #900
MONTREAL (CANADA) H3B 1M1
Tel (514) 875-4820 Canadian Business no: 10285 2357

The following goods are being shipped to Canada for the purpose of being refined into precious metals. They have no value other than the market price of the metals they contain.

Description:QuantityValue $US
Scrap metal containing gold / platinum_______________________$___________
____________________________________________________________ $___________
__________________________________________ __________________$___________
__________________________________________ __________________$___________

For duty purposes this material is HTS Classification No: 7112.10.0090. (Duty-Free)

For GST purposes this material is classified as a "Non-Taxable Imported Good" Please refer to The Excise Tax act, R.S.C. 1985, c. E-15 as amended SOR/91-31, December 18, 1990, gazetted December 31, 1990.- See Section 3.(b)

This document has been prepared by Kitco Minerals & Metals Inc. for the convenience of the exporter. Please call (514) 875-4820 if you require further information.