📄 Extracted Text (141 words)
From: [email protected]
To:
Subject: Your Signed Receipt - Marmur Medical
Date: Fri, 27 Oct 2017 14:57:34 +0000
EFTA00569409
10/27/2017 10:56 AM EDT
Marmur Medical 1050 PARK AVE STE 1A
Marmur Dermatology and Cardiology PLLC NEW YORK. NY, 10028
212.996.6900 (Office)
646-376-5140 (Fax)
BILLED TO DETAILS
DETAILS Approved
TYPE Charge - Capture
APPROVAL 883447
TRANS ID 15629
MID 6078
TID 74447847
TERMINAL 182393
AID AO 00 00 00 25 01 08 01
TVR 0000008000
IAD 844FF044B1AB515D3030
TSI E800
ARC 00
INVOICE 1509116167575
Signature
ACCOUNT AMERICAN 2086
EXPRESS—
Entry Mode Chip
CVM SIGN
10/27/17 74.101.166.117 AMOUNT USD$820.00
Cardmember acknowledges receipt of goods and/or services in the amount of the TOTAL $820.00
total shown hereon and agrees to perform the obligations set forth by the
cardmembees agreement with the issuer.
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EFTA00569410
ℹ️ Document Details
SHA-256
e35dca16aecbb0264429dd1261b798127beddc79d2c8d92604709cdf88dc3395
Bates Number
EFTA00569409
Dataset
DataSet-9
Document Type
document
Pages
2
Comments 0