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PART III — SCHEDULE OF QUALIFYING ALUM PURCHASES <br />In the chart below, please report separately each of your purchases of Alum in the United States directly from a <br />Defendant from January 1, 1997 through February 28, 2011 (attach additional pages if necessary).' In order to <br />qualify as a claim, your purchase(s) must have been billed to and/or shipped to a location in the United States. <br />Foreign transactions where billing and shipping took place outside of the United States do not qualify. Please <br />attach copies of your purchase order(s), invoice(s), or other documentation of your purchase(s). For each <br />purchase of Alum listed below, please include the quantity of Alum purchased, the dollar amount (in U.S. <br />dollars) of purchases made directly from a Defendant during the relevant time period, and the date of each <br />purchase. Amounts should be rounded to the nearest dollar. (Example: $12,345.67 should be entered as <br />$12,346.) Do not include transportation charges, rebates, refunds, credits, etc. <br />Date of <br />Purchase <br />Quantity of Alum <br />Purchased Directl from <br />a Defendant* <br />Dollar Amount (in U.S. dollars) <br />of Alum Purchase <br />(excluding any transportation charges, <br />rebates, refunds, credits, etc.) <br />proof of <br />Purchase <br />Enclosed <br />MM/DD/YYYY <br />EXAMPLE: XX TONS <br />$12,346 <br />0 <br />$ <br />D <br />—/ <br />$ <br />D <br />*In the event that different quantity measurements appear on your invoices)/other <br />record(s), you should default to dry tons if that measurement appears on your <br />invoices)/other record(s). <br />The Net Settlement Fund will be allocated to eligible Direct Purchaser Settlement Class Members on a pro rata <br />basis based on the total dollar value of each Direct Purchaser Settlement Class Member's purchase(s) of Alum <br />in the United States directly from a Defendant during the relevant time period to the total dollar value of all <br />valid claims submitted. <br />` Defendants 'are General Chemical Corporation, General Chemical Performance Products, LLC, General Chemical LLC, <br />GenTek Inc., Chemtrade Logistics Income Fund, Chemtrade Logistics Inc., Chemtrade Chemicals Corporation, <br />Chemtrade Chemicals US, LLC, Chemtrade Solutions, LLC, C&S Chemicals, Inc., GEO Specialty Chemicals, Inc., <br />USALCO, LLC, Kemira Chemicals, Inc., Southern Ionics, Inc., American Securities LLC, Frank A. Reichl, Brian C. <br />Steppig, Vincent J. Opalewski, Alex Avraamides, Amita Gupta, Kenneth A. Ghazey, Milton Sundbeck, Matthew LeBaron <br />and Scott Wolff. <br />YOU MUST COMPLETE AND RETURN THIS PAGE OF THE CLAIM FORM <br />77 <br />