Chuck Gant <squelch.gant@gmail.

com>

Your receipt from Tenet Tennessee

1 message

Tenet Tennessee <noreply@patient-message.com> Tue, Oct 5, 2021 at 2:53 PM

To: chuckgant3@gmail.com

Tenet Tennessee

Your receipt from Tenet Tennessee

Payment Receipt
Thank you for your recent payment with SFP_SFMP - May Medical Group on
10/05/2021, SFP_SFMP - May Medical Group has charged your credit card (ending
in 8653) in the amount of $190.00. A receipt for this payment is included below.

If you have any questions about this payment, please contact SFP_SFMP - May
Medical Group at 833-700-8778.

Payment Information

Merchant ID: 8033021414

Approval code: 05386Z
Record number: 360603
Trace number: 042411
Transaction reference number: 1005195301 CHIP
Transaction identifier: MCOZUT9TS
Transaction type: PURCHASE
Date/time: 10/05/2021 02:53 PM CDT
Type: MasterCard
Card number ending in: 8653
Cardholder name: Charles Gant
Patient identifier: 303813
Application Label: CREDIT
TC: D28ED9D8178E581B
TVR: 0000008000
AID: A0000000041010

Subtotal: 190.00
Sales Tax: 0.00

Total: 190.00