a Apple Store, Fifth Avenue 767 Fifth Avenue New York. NY 10153 212-336-1440 DCA License A1226523 & 1226517 December 13, 2011 11:57 AM iPhone 45 Black 64GB AT&T Part Number: MD269LUA Serial Number: C39GQSVSDTDK IPAD 2 WI-Fl 16GB WHITE • 5 PACK•USA Part Number: MC989LUA Serial Number: DMPGGYS4DKPH Return Date: Dec. 27, 2011 For Support, Visit: apple.com/support iPad Smart Cover- Pink Part Number: MD30BLUA Return Date: Dec. 27, 2011 For Support, Visit: APPLECOWSUPPORT (5 849.00) $ 499.00 $ 39.00 Sub-Total (5 311.00) Tax@8.875% (5 27.60) Total (5338.60) Amount Refunded Via AmEx (Al (5 338.60) xxmoocaxxx3014 I 111111 III0101110111011111110100011101110111IIII1111 R 0 9 5 S 44 7 0 0 S http://www.apple.comAegal/sales_policies/retail.html Tell us about your experience at the Apple Store. Visit www.apple.com/feedback/retail.html EFTA00525257