Buyer Receipt

Receipt # 13878173
Receipt Date 7/5/2019
Received By Karen R
Sold At Branch 711 - Richmond
Paid At:
999 - Corporate Sale Date 6/29/2019
Two Westbrook Corporate Center Suite 500
Westchester IL 60154 Buyer # 366877
(708) 492-7000 Buyer Name Importadora El Gran Jaguar
Branch Dealer # : Dealer
Branch Tax # : 4455018
Resale Certificate # 708048
Registration Expires 7/21/2019

Sale License
StockNo Item # Year Make Model Color Mileage VIN Plate #
000-25397493 2011 HONDA CR-V Blue 272,408 5J6RE4H46BL016237
Invoice To: Description Charges Payments Balance
Bid Amount $2,025.00
Importadora El Gran Jaguar Buyer Fee $335.00
Service Fee $59.00
Carretera cerrito Lt 1 Fraijanes - Internet Fee $69.00
00 Granjas el Paraiso, kn 30.5
Zona 0
Guatemala, GT.

Check # / Reference No.

Wire Transfer - $2,488.00
20190705190374-ZZ

Total Payment $2,488.00

Amount: 7/5/2019 8:25:55 AM - Payment $2,488.00
Remaining Amount Due $0.00

PAID IN FULL Total $2,488.00 $2,488.00 $0.00

Special Notes: DISCLAIMER - This vehicle may be subject to the Takata airbag recall. Please contact the manufacturer for further details.
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): 711 - Richmond 10390 Sadisco Drive, Ashland, VA , 230058021. (804) 798-6091

Legend: For Mexican Customs Purposes

Tax ID: 954455113 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 55152065 FREIGHTFORWARDG>
Seller Signature Date
IAA Doc: RP018.00 7/7/2019 8:34:10 PM Page 1 of 1