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6472601

USE BALL POINT PEN

PRESS FIRMLY

EXPANSION DATE
CLASS
DESCRIPTION
PRICE
AMOUNT

SUB TOTAL
TAX
TOTAL

REFERENCE NO.
POLOPHECA NO.

SALES SLIP

MERCHANT COPY

DO NOT CIRCLE EXPIRATION DATE

USE BOX BELOW

PURCHASER SIGN HERE

X

Cardholder acknowledges receipt of goods and services in the amount of the TOTAL, which is known and agrees to be bound by the terms and conditions set forth in the Cardholder's agreement with the Issuer.

MERCHANT COPY

TOPS - Credit Card Sales 3-Part Carbonless Receipt, 3.25"L x 7.88"W, 100/Pack - White

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TR. SMI Adortides Capdies Fed g GOURMET CAFE

Cardinal - Business Card Refill Pages, 20 Card Capacity, 10/Pack - Clear

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TR SMI Address Ceopbien I g K GOURMET CAFE

Cardinal - Business Card Refill Pages, 20 Card Capacity per Page, 10/Pack - Clear

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Front. Unique Bargains - 12 Pocket Trading Card Binder, PU Cover 480 Side Loading Card Album Folder for TCG Game Sports Cards - Navy Blue.

Unique Bargains - 12 Pocket Trading Card Binder, PU Cover 480 Side Loading Card Album Folder for TCG Game Sports Cards - Navy Blue

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