EFTA00521017.pdf

DataSet-9 1 page 71 words document
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Page I of I RECEIPT 10/15/2012 DULLES GLASS AND MIRROR 9151 EUCLID AVENUE Mannassas , VA 20110 Phone 703-361-9994 [email protected] Transaction Type : Sale Authorization Code : 202880 AVS Result : Y - Match. Street address and 5•dlgit postal code match. Total : 4282.58 USD Cardholder Information Name Credit Card Type : American Express Credit Card Number: xq x*4*.: quad 2037 Level II Fields Tax Exempt : NO hups://e6c.cybersource.com/ebc/virtualterminal/PrintSingleReceiptLoad.do 10/15/2012 EFTA00521017
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e00109c9f56c1f10d849843acad842e2ef29dbbfb9713fa1fa12d0d4fbd794e0
Bates Number
EFTA00521017
Dataset
DataSet-9
Type
document
Pages
1

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