Buyer Receipt

Receipt # 20303099
Receipt Date 4/4/2023
Received By AC/ASAP S
Sold At Branch 613 - Long Island
Paid At:
999 - Corporate Sale Date 4/4/2023
Two Westbrook Corporate Center Suite 500
Buyer # 310808
Westchester IL 60154
(708) 492-7000 Buyer Name Inversiones BAVI
Branch Dealer # : Dealer
Branch Tax # : 4455018
Resale Certificate # 0801198926076
Registration Expires 11/2/2023

Sale License
StockNo Item # Year Make Model Color Mileage VIN Plate #
000-36139142 C-0154 2010 HONDA CR-V Blue 148,496 5J6RE4H36AL073995

Invoice To: Description Charges Payments Balance

Bid Amount $2,175.00
Inversiones BAVI Buyer Fee $340.00
Service Fee $79.00
col. san jose del loarque.salida al Internet Fee $89.00
sur salida al sur 3 cuadras atras Environmental Fee $10.00
del motel
Tegucigalpa, XX. 11101

Check # / Reference No.

Account Credit - $2,693.00
3832912-405153

Total Payment $2,693.00

Amount: 4/4/2023 1:04:42 PM - Payment $2,693.00
Remaining Amount Due $0.00

Wholesale PAID IN FULL Total $2,693.00 $2,693.00 $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 66114428 FREIGHTFORWARDJ>
Seller Signature Date
IAA Doc: RP018.00 4/13/2023 7:51:48 PM Page 1 of 1