| Receipt Number | |
| Amount Paid | |
| SKU | |
| Buyers Check Number |
| Date | |
| Password | |
| Address | |
| PhoneNumber | |
| Offer | |
| Buyer | |
| DL# |
| Item Purchased | |
| Model | |
| Carrier | |
| ESN |
| ESN Clear Yes No | iCloud Clear |
| Test Digitizer | Home Button |
| Power Button | Mute Button |
| Sound | Camera |
| Battery Test | Charge Port |
| Working Yes No | RFR Parts |
| Visual Diag | |
I attest that the above item is sold legally to Compuzone for the documented price. ALL SALES FINAL! Item becomes property of Compuzone after 7 days if not sold/picked up by seller.