City Service SE — Proxy Solicitation & Information Statement 2012

Oct 15, 2012

CITYservice

City Service AB

Address: Konstitucijos av. 7, Vilnius, Lithuania

Code: 123905633, VAT code: LT 239056314

Data is collected and stored in the Register of Legal Entities

VOTING BULLETIN OF THE EXTRAORDINARY GENERAL SHAREHOLDERS MEETING, HELD ON THE 5TH OF NOVEMBER, 2012

SHAREHOLDER'S INFORMATION

The shareholder (natural person) name, the shareholder (legal person) title:

The shareholder (natural person) the personal code of shareholder (legal person) code:

The number of shares:

AB „City Service“ • Smolensko str. 12, LT-03201 Vilnius, Lithuania
Tel. (+370 5) 239 49 00 • Fax (+370 5) 239 48 48 • info@cityservice.lt • www.cityservice.lt
Company code 123905633 • VAT payer code LT239056314
„Swedbank“, AB, Vilnius, Lithuania • A/N LT 757300010070504902
Register Management: SE „Centre of Registers“

TÜR MUT, ISO 14001
BUREAU VERITAS
Certification
BUREAU VERITAS
1828

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CITYservice

VOTING

Please underline the option you choose in the table, "YES" or "NO" or "ABSTAIN".

No.	The items of the agenda	The drafts of the decisions	Shareholder's voting
1.	On approval of the audit company for the performance of the audit of the Company's and the Company's set of consolidated financial statements for the year 2012 and for the evaluation of the Company's consolidated annual report.	1.1. To elect Ernst & Young Baltic UAB, company code 110878442, as the audit company which shall perform the Company's and the Company's set of consolidated financial statements audit for the year 2012 and shall evaluate Company's consolidated annual report.	„YES“	„NO“
			„ABSTAIN“
2.	Establishment of the payment conditions for the audit services.	2.1. Determinate that the Company shall pay for the audit of Company's and Company's set of consolidated financial statements of year 2012 and for the evaluation of Company's consolidated annual report services EUR 49,988 (forty nine thousand nine hundred eighty eight euros), excluding VAT. The settlement for the audit services shall be made in national currency - litas following the official rate of litas and euro, published by bank of Lithuania on the day of issuing the bill.
2.2. To authorize the Company's General Manager to conclude and sign the agreement for the audit services with Ernst & Young Baltic UAB and on his own discretion settle the other conditions of audit services agreement, also conclude and sign other related documents and perform other actions in order to fulfill duly audit.	„YES“	„NO“
			„ABSTAIN“

(date)

(shareholder (or any other person entitled to vote his shares), the name, signature, legal person seal)

AB „City Service“ • Smolensko str. 12, LT-03201 Vilnius, Lithuania

Tel. (+370 5) 239 49 00 • Fax (+370 5) 239 48 48 • info@cityservice.lt • www.cityservice.lt

Company code 123905633 • VAT payer code LT239056314

„Swedbank“, AB, Vilnius, Lithuania • A/N LT 757300010070504902

Register Management: SE „Centre of Registers“

THE MALL TEN TIMES BANKS BUREAU VERITAS Certification

CITYSEVILLE