EFTA01221722.pdf

CLAIM LETTER This claim for USD$ lD c277. 00 Is made for: ilrliamage Loss Commodity Description: ray+ Widdshidct gRokEnt Date and place damage or loss was first discovered: li th 02013 9:01A04 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 7iicip;ail 511ippic xJp -531171 -to TRO lad 511;pp •et zli eat 0102 fi 61.56 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: 4/ /Plias 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: EFTA01221722  Tropical Shipping and Construction Cargo Release Tropical wwwinspicaLcom SNIPPING Company Limited BILL OF LADING TSCW 10723149 SHIPPER/EXPORTER 100064506 EXPORT REFERENCES IS1E, LW PRO NUMBER 9612019463191915081161 575 LEXINGTON AVE PRO NUMBER 15081178 47H FLOOR CUSTOMER INVOICE NO. ROCKAUTQCOM INVOICE NEW YORK NY 10022 CUSTOMER ORDER NO. ORDE10 - 14383334 UNITEDSTATES CONSIGNEE NOT NEGOTIABLE UNLESS CONSIGMF.D10 ORDER) 100579732 FORWARDING AGENT/FMC NO GORDON. BRICE 6100 RED HOOK QUARTERS 84 1.177LE ST JAMES ISI.AND CHARLOTTE AMAI.IE 00802 ST 711001AS. USVI upolo, 'Mtn:161W 1.177I.E ST JAMES ISLAND CHARLOTTE ANIALIE ODS02 ALSO NOTIEWROUTINDINST RUCTIONS SAME S'IT HIONIAS. USY1 LAFORI PIG CARRIER a NO PRE-CARRIAGE. BY* PLACE OF RECEIPT. PORT OF LOADING 1 ROPICEIDE - 1000 PORT OF PALM BEACH SEAPORT PORI UI DIM IIAK(21. PLACE OF DELIVERY BY ONCARRIER• POINT AND COUNTRY Of OIUGIN Of GOODS CROWN BAY SEAPORT(ST1110%1AS) 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: — SHIPPER t i /7 43 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: - ,r7 / Signalure inn bendwria. 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 au tome Roc /auto Catalog Order 14383334 Wednesday, March 27, 2013 02:04 PM (Central Time) Ship To: Bill To: - Little Saint James Island Ann M Rodriquez 9505 NW 108th Ave 6014 Estate Smithbay Medley, FL 33178 St. Thomas, VI 00802 United States Virgin Islands 340-775-2525 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 2013-04-17 08:17:22 v},'` `+' Available Carts: Part Price Quantity Total Remove 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 1 $129.79 1,,044 , Subtotal $129.79 Country: United States v I Postal Code: i33178 Shipping: tcround (4 to 5 business days) - $86.76 $86.76 Total $216.55 How Did You Hear About Us? Continue Shopping Check Out 4/17/2013 EFTA01221725  picai Tropical Shipping and Construction Company Limited BILL OF LADING TSCW 10723149 Yom SHIPPING Page I or I SHIPPEIVESPORIER I00064806 TNPOt7 REI LIMN IS EXPRESS RELF.ASE LSJE, LLC INVOICE 575 LEXINGTON AVE °anERN - 1/383334 4TH FLOOR NEW YORK NY 10022 UNITED STATES CONSIGNED/40E NEGOTIABLE UNLESS CONSIGNED 113 ORDER) I 0057, 732 FORWARDING AGENT/MC NO GORDON. BRICE MOO RED HOOK QUARTERS B-3 LITTIK ST JAMES ISLAND CHARLOTTE AMALIE 00802 ST THOMAS. USVI 100579732 ALSO AllIFYROU1INGIKIERUCTIONS SAME II INWIIIII IARTEILS 03 LITTLE ST JAMES ISLAND CHARLOTTE AMAI.IE 00802 ST THOMAS. USV I EXPORTING CARRIER, VOYAGE & EDA Updated PRE-CARRIAGE BY PLACE Of ItECEIPT• PORT OP LOADING DEPARTING TROPIC TIDE. • 1000 PORT OF PALM BEACII SEAPORT ARRIVING TROPIC TIDE • 1000 FDA 1114/2013 PORT OF DISCHARGE PLACE OF DELIVERY BY ONTARRIER* POINT AND COUNTRY OF ORIGIN Of GOODS CROWN BAY SEAPORT (ST THOMAS) PARTICULARS FURNISHED BY HOPPER MMIKSANIIRSVONEAINER NUBUIER HAL DESCRIPTION Of PACKAGESGOODS GROSS WEIGHT MEASUREAIENE NBRS W/SEAL NUASESS OF PKGS. LOS KG CF CM SHIPMENT NO 4593620 2 CARTON($) 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 AD VALOREM DECLARED VALUE USD (Rein a FREIGHT PAYABLE ADDY 51148-82 CLAUSE NH on mine1,40 ST THONIAS. USVI / ISJF.,LLC %HMI APP1 WAN 4. 11**1.1***1OO11S IICIO• )1 0/11* OR MR MARI- WHO CHARGE DESEP!num PREPAID IUSDI COLLECT LUSH I MO] 011tIOUTH la*FI) %TAU 4. Mk 1,1 I:PAM III MIAIRO'lle AN AU *ILANCA WillaEII* I IMAIM AONCRINTIRAI ION RIGUIATI ArINAT ONA.INVIRUON OCEAN FREIGHT - I-CL MOO IJINIRARY T00% LAW ISPROURRITII) INSURANCE PREMIUM 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. At* nI4 AM d4AR **ANN dm nwt for My Canut e stjea to A Ile Ian. Rai **A** Iv na I tml.:01*. I I II URNSAN* CIo IMM OHNNI*4 WI Rk VI MU. III.RI:01 AMMO II IOAS:Al HA CARRVill APR CAM} IARtlt I *SI lb/ 14.01•1,411. .104 F,II et lAnalriellA*8 o ..11., die s.the Rd WI Avis,.mi tr Ma* IhInen. Whale.a It sal.abk If OR CARIA * t•p•a.b.1.0 kr nutve.atacf, eft OA* (mown.* Mal ata* Rd% .41**.t niAttwuncok*Ibi tit *ad* hat t aver al Sr KAN Denharge.n. in* Atha btahn ***Al, *R.CP** *A4*** * 041: 41. 4,1 Skids* even*, entree RAIARAci **Sort tram al.****. AM*.1.vµ1Ano**4000. ant** angora* rauvRandaR :he AA Rint.i.4 A.. hill 41••••Ill the kialuol IN want,. woo so la ....t.., ol.qqattl Mit 4 1.4vm Ait.1kµ1.NUi......4...itgast t...a....tintiod .•....,....2 I. e.: kaehtk A'*** aim 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