Sales Receipt

<table><tr><th>Date</th><th>Sale No.</th></tr><tr><td>11/4/2011</td><td>20283</td></tr></table>

Sold To

- Context label: "Sold To" (text provided)
- Visual: white rectangular panel with thin dark border
- Key element: solid black rectangle in the top-left corner (occupies roughly the top-left third of the panel)
- Likely meaning: black block appears to redact or mask a name/logo/address in the "Sold To" area

- Text: "Ship To" (top-left)
- Bordered shipping/address box across image
- Black rectangular block (redaction) in left portion of the box — likely covers recipient name/address
- Remainder of the box is blank/empty

<table><tr><th>Program</th><th>P.O. No.</th><th>Payment Met...</th><th>Rep</th><th>Ship Date</th><th>Ship Via</th><th>Serial No.</th></tr><tr><td></td><td>OTHER SERVICES</td><td>American Ex...</td><td>PL</td><td>11/4/2011</td><td>FedEX Ground</td><td></td></tr></table>

<table><tr><th>Item</th><th>Description</th><th>Qty </th><th>Rate</th><th>Amount</th></tr><tr><td>Adapter-US</td><td>US Adapter 110V. AND CHARGING STAND FOR BLACK HAWK
WATCH </td><td>2</td><td>50.00</td><td>100.00</td></tr><tr><td>Shipping</td><td>Shipping &amp; Handling and Insurance</td><td>1</td><td>15.95</td><td>15.95</td></tr></table>

Return Policy: Returns without prior authorization from MTM will not be accepted. No refunds for returns will be issued on watches after 10 working days from the date of purchase. Returned watches must be received in original condition with packaging and accessories intact.

MTM. reserves the right to reject any damaged or worn returns even if a return authorization was originally granted.

Sales Tax (0.0%) $0.00

<table><tr><th>Total</th><th>$115.95</th></tr></table>