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O3 )0 5119 a _ _ _ ti <br /> LIlY,. ttMIt POS <br /> 100 11 10111 ME SIE 403 <br /> lllEtlt. IR 97401 <br /> 15411 bY[5517 CIHO tttiit POS CITY CE Walt POS <br /> 100 u 10111 AVE SIE 401) IUB N 101N NYE SIE 400 <br /> U341549 13:02.lie L 54(11.682 91401 77 LLOfM.6OR 56/7 <br /> 91401 <br /> TOTALS REPORT <br /> ,�{�� REPRINT REPRINT <br /> mlr bnlbMerc an: ID: Sark ,0 <br /> Cs L.t Sala 10141nt IO: 1251 <br /> Tar. ID: 001 Tera r <br /> IR 2 4603 35.W <br /> PhoneRefund <br /> Sale Order <br /> 10141: $ S.BU X XXiXXXXX8 gX I Well 11.539 <br /> MASTERCARD Entry Method: Manual t'' En . • I. Ill <br /> Total: $ 40.00 To - 75.00 <br /> lou Id lO 11 pYaal FOSSTE Sw 43419 16:39:53 B3rf�19 (9:36:27 <br /> RUNE.. 59b1401 Inv 1: I iv, Roar Code: C.'. lny A: :;;;; far Code: 416901 <br /> tcorvd:Code: <br /> Becht s, :: Acorvd: Online Batd:N: s. t <br /> ler, I0: COI CR12 Code: (MCH M Reiner.' Rel.u. Matta <br /> uiMg9 26:02:16 Retrieval Re/.a: o01mw1 <br /> ([ 1I[1[�I} �IyQ I etre! to.ap above total amount <br /> JCTllil[111 WIRTaccardlrm to card Heuer credit voucher-) <br /> I agree to PAY above total amount (Merchant agreement if voucher) <br /> according to card stater surnotIO <br /> Batik Nr: 64031 <br /> (Merchant agreement if credit voucheh, <br /> r) <br /> Hat Na..: Why ..J_�J.Q../ht. <br /> t. _- f✓. <br /> Merahanl: I <br /> Salamiummsmilmommommumimmumna 5� C��h <br /> 1 . 40.03 <br /> Total : 2 t ._.15.00 Itti4 G ^- -^ Mar tlte.�t Cope <br /> Settle�vnnt}SSuucclia <br /> essful M.r hent Coo)/ l ' EACMPIEU IWWSNCI ION <br /> • <br /> GIMP%ILO IRfdGACl ION <br />