Buyer Receipt

Receipt # 20345963
Receipt Date 4/12/2023
Received By AC/ASAP S
Sold At Branch 613 - Long Island
Paid At:
999 - Corporate Sale Date 4/11/2023
Two Westbrook Corporate Center Suite 500
Buyer # 215870
Westchester IL 60154
(708) 492-7000 Buyer Name Inversiones Danis
Branch Dealer # : Dealer
Branch Tax # : 4455018
Resale Certificate # 08011983137498
Registration Expires 4/19/2023

Sale License
StockNo Item # Year Make Model Color Mileage VIN Plate #
000-34702032 F-0058 2015 HONDA CR-V White 108,206 5J6RM4H31FL023869 BOX 2

Invoice To: Description Charges Payments Balance

Bid Amount $3,775.00
Inversiones Danis Buyer Fee $500.00
Service Fee $79.00
Colonia las Collinas Internet Fee $89.00
Premium Vehicle Detail Fee $15.00
Tegucigalpa, XX. 00000 Environmental Fee $10.00

Check # / Reference No.

Account Credit - $14,861.00
3851204-410192

Total Payment $14,861.00

Amount: 4/12/2023 11:28:57 AM - Payment $4,468.00
Remaining Amount Due $0.00

Wholesale PAID IN FULL Total $4,468.00 $4,468.00 $0.00

Special Notes:
This is a “routed export transaction” per 19 CFR 30.3, and by agreement Buyer is responsible for all export filing and licensing requirements.
ECCN: EAR99 Country Of Origin: UNITED STATES HTSUSA: 8703.90.0000 Tax ID: 954455113
Sold At (USPPI): 613 - Long Island 66 Peconic Ave., Medford, NY , 11763. (631) 207-3477

For Exporter Use Tax ID: 953790111 A wholly owned subsidiary of affiliate of Insurance Auto Auctions, Inc., Registrant #008 - FEIN
95-3790111

Receipt Acknowledged by:

Print Name/Company/Title

Buyer Signature IAA Signature

<IAAI FFR 66181647 FREIGHTFORWARDR>
Seller Signature Date
IAA Doc: RP018.00 4/14/2023 1:24:53 PM Page 1 of 1