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  • Tech Receipt 2010

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    adihernan
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    A payment receipt was generated for a $72 online license purchase from the Arizona State Board of Pharmacy. The authorization number is 912188 and the transaction included one Tech Ren 24 - PMA item for $64.80 and one Tech Ren 24 - GF item for $7.20. Billing information was provided for Adela Hernandez of Buckeye, AZ.

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    Original Title

    TECH RECEIPT 2010

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    © Attribution Non-Commercial (BY-NC)

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    A payment receipt was generated for a $72 online license purchase from the Arizona State Board of Pharmacy. The authorization number is 912188 and the transaction included one Tech Ren 24 - PMA item for $64.80 and one Tech Ren 24 - GF item for $7.20. Billing information was provided for Adela Hernandez of Buckeye, AZ.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3 views1 page

    Tech Receipt 2010

    Uploaded by

    adihernan
    A payment receipt was generated for a $72 online license purchase from the Arizona State Board of Pharmacy. The authorization number is 912188 and the transaction included one Tech Ren 24 - PMA item for $64.80 and one Tech Ren 24 - GF item for $7.20. Billing information was provided for Adela Hernandez of Buckeye, AZ.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Thu, 28 Oct 2010 19:33:17 MST

    Payment is complete. Print this receipt for your records.

    Your authorization number is 912188.

    Please reference this number in any correspondence regarding your transaction.

    Billing Information
    Adela, Hernandez

    1628 E MAPLEWOOD AVE

    BUCKEYE, AZ 85326

    Phone: 623-734-2965

    Email: ANTONIO2K51@MSN.COM

    Account Information
    Master Card

    5***********9044 EXP. 11/2013

    Order Items
    Amount Quantity Total Amount
    Order ID Product ID Item Description
    $64.80 1 $64.80
    196439 PM000009 Tech Ren 24 -
    PMA
    $7.20 1 $7.20
    196439 PM000010 Tech Ren 24 - GF
    Total $72.00
    196439

    Amount
    Merchant Name
    $72.00
    Arizona State Board of Pharmacy

    Notes
    You are ordering an online license purchase.

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