Purchase Order(sample)

(The acknowledgment of this Order is required)SELLERConfirmed and acceptedNSRRCBY:_______________NAME PRINTED:TITLE:DATE:BY: _______________Authorized SignaturePaul HuangTITLE: Purchasing AdministratorDATE: March 28, 2013ATTACHMENT IISRPO-1020186Page 3

CERTIFICATE OF ACCEPTANCEPursuant to Purchase Order No. SRPO-1020186 betweenand NATIONAL SYNCHROTRON RADIATION RESEARCH CENTER inTaiwan, R.O.C., I, the duly authorized representative of this Center, hereby certifythat the Purchase Order item(s) has been accepted.□ The completion of drawing(30%)□ The completion of delivery and acceptance by NSRRC (70%)Joint Inspector____________________Approved by Chief Inspector__________________________Title: DirectorName Typed: SHIH-LIN CHANG1._________________________Title: Principal InvestigatorName Typed:2. _________________________Title: Group LeaderName Typed:3. _________________________Title: Division LeaderName Typed:4. _________________________Title: Deputy DirectorName Typed:SRPO-1020186Page 4