CLAIM LETTER

CLAIM LETTER This claim for USD$ lD c277. 00 Is made for: ilrliamage ray+ Widdshidct gRokEnt Commodity Description: Date and place damage or loss was first discovered: Loss li th 02013 9:01 A04 Bill of Lading #: MCW/07,23/Y9Shipment Number: I/31362o Itemized Statement Showing How Amount Claimed is Determined (Number and description of articles, nature and extent of loss or damage, invoice price of articles, etc.) Idri/dShi Eld plUS SiilppiN +0 Top/oil -=ip code 33117 4.116.65 fi 61.56 7iicip;ail 511ippic xJp -531171 -to TRO lad 511;pp •et zli eat 0102 Total Amount of Claim in USDOA78.. 00 The following documents are required to support this claim: 1. Delivery receipt(s) 2. Original invoices 3. Bill of lading [ 4. Other relevant information pertaining to shortages or damages 5. For claims exceeding $750.00, photos of damages are needed The preceding statement of facts is hereby certified as correct *** Damaged goods must be retained for presentation at time of settlement *** Please Print Company: .11-14k Sigstaeil Today's Date: Contact: Mr./Mrs./Ms. hi \ 1M NODkit AV E7 Phone: Mailing Address: blal RN3 i-lcor. argsts.3 Fax: City: :1}t(\4.AS i \t[ freD9r1MgEmail: StatelCountry/Zip: Signature: 4/ /Plias EFTA01221722 Tropical wwwinspicaLcom SNIPPING Tropical Shipping and Construction Company Limited Cargo Release BILL OF LADING TSCW 10723149 SHIPPER/EXPORTER 100064506 IS1E, LW 575 LEXINGTON AVE 47H FLOOR NEW YORK NY 10022 UNITEDSTATES EXPORT REFERENCES PRO NUMBER 9612019463191915081161 PRO NUMBER 15081178 CUSTOMER INVOICE NO. ROCKAUTQCOM INVOICE CUSTOMER ORDER NO. ORDE10 - 14383334 CONSIGNEE NOT NEGOTIABLE UNLESS CONSIGMF.D10 ORDER) 100579732 GORDON. BRICE 6100 RED HOOK QUARTERS 84 1.177LE ST JAMES ISI.AND CHARLOTTE AMAI.IE 00802 ST 711001AS. USVI FORWARDING AGENT/FMC NO upolo, 'Mtn:161W 1.177I.E ST JAMES ISLAND CHARLOTTE ANIALIE ODS02 S'IT HIONIAS. USY1 ALSO NOTIEWROUTINDINST RUCTIONS SAME LAFORI PIG CARRIER a NO 1 ROPICEIDE - 1000 PRE-CARRIAGE. BY* PLACE OF RECEIPT. PORT OF LOADING PORT OF PALM BEACH SEAPORT PORI UI DIM IIAK(21. CROWN BAY SEAPORT(ST1110%1AS) PLACE OF DELIVERY BY ONCARRIER• POINT AND COUNTRY Of OIUGIN Of GOODS PARTICULARS FURNISHED BY SHIPPER MARITSA NITRYCONTAINER NI:WIER HAZ DESCRIPOON OF PAC1CAGESTOODS GROSS WEIGHT MEASUREMENT NBRS W/SEAL !CUMBERS OF PEGS LBS KG CF CM SHIPMENT NO 4593620 2 CARTON(S) AUTO PARTS 65 29 19.0 0.538 TTRU4837298 TOTAL 65 29 19.0 0.538 037868 037869 CLAUSES SHIPPER'S WEIGHT. CARRIER'S CUBE. NOEEI Sec. 30.37 (a) • RELEASE DATE: t i /7 43 SHIPPER WE, LLC — RELEASE BY: ,_ 9....e0gSIGNEE CORDON, BRICE AS AG NT F ROPICAL SHIPPING AND CONSTRUCTION COMPANY LIMITED _ • OTIIE PHONE NUMBER 6-12 -12 , RELEASE DETAILS: - Signalure ,r7 inn bendw/ ria. Print Name EFTA01221723 Print Page I of 2 Subject: RockAuto Order Confirmation 14383334 From: RockAuto Customer Service ([email protected]) To: Date: Wednesday. March 27, 2013 2:34 PM RockAuto Order Confirmation Order 14383334 Wednesday, March 27, 2013 02:04 PM (Central Time) Ship To: - Little Saint James Island 9505 NW 108th Ave Medley, FL 33178 United States 340-775-2525 au tome Roc /auto Catalog Bill To: Ann M Rodriquez 6014 Estate Smithbay St. Thomas, VI 00802 Virgin Islands Part Number part TVDe PrkelA Core EA Quantity law 2003 LEXUS RX300 3.0L V6 VARIOUS MFR FW02087N (FW02087GBN) Windshield Glass $ 129.79 $ 0.00 1 $ 129.79 VARIOUS MFR FB20415N (FB20415GTN) Rear Window Glass $ 378.79 $ 0.00 1 $ 378.79 Shipping Ground $ 120.77 Order Total $ 629.35 Visa -$ 629.35 Balance Due $ 0.00 Your Visa will be charged when your order ships. Your card will be charged in US Dollars. If you live outside the US, the amount appearing on your bank statement may vary due to bank fees and conversion rates When the last item on your order ships, we will send an email listing tracking numbers for all the items on the order. To check order status or get return instructions, please visit http://www.rockauto.com/orderstatus/orderstatus.php7 ordernum=14383334&emarladdr=annrodriguez0/040yahoo.com&k=ffb86b0e0860(00730939782cb19c64 (NOTE: All returns require authorization--parts do not necessarily go back to the location from which they shipped!) Please click on the part numbers above to check the RockAuto Advice Wiki for other customers' installation tips. After you complete your repair, please return to the Wiki and add your advice to help others. Please print this page as your receipt. If you have questions about your order, please reply to this email or use the contact information below. Please provide the Order number above and as much detail as possible to help us assist you (the part number, pictures which illustrate your concern, etc.). littp://us-mg6.mail.yahoo.com/neo/launelt?.rand—cipe8c5ahl43p 4/17/2013 EFTA01221724 Shopping Cart Page I of. I Available Carts: Part o 2003 LEXUS RX300 3.0L V6 :4 Body-Exterior: Windshield Glass Related Parts VARIOUS MFR Part # FW02087N Color: Green Tint/Blue Shade %1.14 Door Utility; Type: Windshield; Position: Front $129/9 $129.79 1,,440 , 1 Subtotal $129.79 Country: United States v I Postal Code: i33178 Shipping: tcround (4 to 5 business days) - $86.76 $86.76 Total $216.55 2013-04-17 08:17:22 v},'` `+' Price Quantity Total Remove How Did You Hear About Us? Continue Shopping Check Out 4/17/2013 EFTA01221725 Yom picai Tropical Shipping and Construction Company Limited SHIPPING BILL OF LADING TSCW 10723149 Page I or I SHIPPEIVESPORIER LSJE, LLC I00064806 575 LEXINGTON AVE 4TH FLOOR NEW YORK NY 10022 UNITED STATES TNPOt7 REI LIMN IS EXPRESS RELF.ASE INVOICE °an ERN - 1/383334 CONSIGNED/40E NEGOTIABLE UNLESS CONSIGNED 113 ORDER) I 0057, 732 GORDON. BRICE MOO RED HOOK QUARTERS B-3 LITTIK ST JAMES ISLAND CHARLOTTE AMALIE 00802 ST THOMAS. USVI FORWARDING AGENT/MC NO II INWIIIII IARTEILS 03 100579732 LITTLE ST JAMES ISLAND CHARLOTTE AMAI.IE 00802 ST THOMAS. USV I ALSO AllIFYROU1INGIKIERUCTIONS SAME EXPORTING CARRIER, VOYAGE & EDA Updated DEPARTING TROPIC TIDE. • 1000 ARRIVING TROPIC TIDE • 1000 FDA 1114/2013 PRE-CARRIAGE BY PLACE Of ItECEIPT• PORT OP LOADING PORT OF PALM BEACII SEAPORT PORT OF DISCHARGE CROWN BAY SEAPORT (ST THOMAS) PLACE OF DELIVERY BY ONTARRIER* POINT AND COUNTRY OF ORIGIN Of GOODS PARTICULARS FURNISHED BY HOPPER MMIKSANIIRSVONEAINER NUBUIER HAL DESCRIPTION Of PACKAGESGOODS GROSS WEIGHT MEASUREAIENE NBRS W/SEAL NUASESS OF PKGS. LOS KG CF CM SHIPMENT NO 4593620 2 CARTON($) AUTO PARTS 65 29 19.0 0.538 TTRU4837298 TOTAL 65 29 19.0 0.538 037868 037869 CLAUSES SHIPPER'S WEIGIIT. CARRIER'S CUBE. NOEEI See. 30.37 (a) INSURED VALUE 51148-82 AD VALOREM DECLARED VALUE USD (Rein a CLAUSE NH on mine 1,40 FREIGHT PAYABLE ADDY ST THONIAS. USVI / ISJF.,LLC %HMI APP1 WAN 4. 11**1.1***1OO11S IICIO• )1 0/11* OR MR MARI- WHO I MO] 011tIOUTH la*FI) %TAU 4. Mk 1,1 I:PAM III MIAIRO'lle AN AU *ILANCA WillaE II* II MAIM AONCRINTIRAI ION RIGUIATI ArINATONA. INVIRUON IJINIRARY T00% LAW ISPROURRITII) CHARGE DESEP !num PREPAID IUSDI COLLECT LUSH OCEAN FREIGHT - I-CL INSURANCE PREMIUM MOO 30-00 • AlttrAMI PIM.Y WIRY UM 1/11111*,(4 YAM** IRAMn WT Rate.**, S. (*net RoAl the 4.2*** in appeal pxlcionawkostinsoul•441cnstmiutnl **a/ RA *A untwencp.ann o(Onuarni* at patop,:o. nwt for My Canut e stjea to A Ile Ian. Rai **A** CI IoMM OHNNI*4 WI Rk VI MU. III. RI:01 AMMO II IOAS:Al IARtlt I *SI lb/ 14.01•1,411. .104 F,II et lAnalriellA*8 tr Ma* IhInen. Whale. a It sal.abk If OR CARIA * OA* (mown.* Mal ata* Rd% .41**.t niAttwuncok*Ibi KAN Denharge.n. in* Atha btahn ***Al, *R. CP** Skids* even*, entree RAIARAci **Sort tram al.****. ant** angora* rauvRandaR :he AA Rint.i.4 A.. IN want,. woo so la ....t.., ol.qqattl Mit 4 1.4vm t...a....tintiod .•....,....2 I. e.: kaehtk A'*** aim At* nI4 AM d4AR **ANN dm Iv na I tml.:01*. I I II URNSAN* HA CARRVill APR CAM} o ..11., die s.the Rd WI Avis,. mi t•p•a.b.1.0 kr nutve.atacf, eft tit *ad* hat t aver al Sr *A4*** * 041: 41. 4,1 AM*. 1.vµ1 Ano**4000. hill 41•••• Ill the kialuol Ait.1 kµ1. NU i......4...itgast 4.: ini. Fufil ARRO* TOTAL USD 100.11 DATE OF ISSUANCE ounnou I NO OF ORIGINAL B1(S)SIG(ED 0 IlvorAce DATE 04.40/2013 Printed:04/17/2013 12:25:11 EFTA01221726 EFTA01221727 EFTA01221728 EFTA01221729 EFTA01221730