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Invoice : COBRIIN201911
CO - Brighton
2237 Prairie Center Pkwy, Unit A
Tendered On: 20-NOV-2019 14:20 AM
Brighton CO United States 80601
Sales Person: Tonny Hang
(720)282-1641
Tendered By: Tonny Hang
Merchant ID:8024442272
Tendered At: CO -Brighton
Subtotal: $750.00
Payment:
Adams County Sales Tax: $8.24
American Express $869.31 Brighton City Sales Tax: $41.24
Approval #:869420
************8813 Brighton PIF: $24.74
ORR/CARLY Colorado CD Tax: $1.10
Entry Type: Chip Colorado RTD Tax: $11.00
I agree to pay the above total according to the card holders agreement. Colorado State Sales Tax
: $31.89
Colorado TRS: $1.10
Financed: $0.00
(Signature Captured)
Total: $869.31
Change: $0.00
Contract Details:
Tracking # Contract #
280002206454721 758367590
4696442160 758367590
353889106234965 758367590
Comments:
A) Equipment and accessories may be returned or exchanged in store once within 14 days of the original purchase/contract date. Ex:
Item purchased on the 1st day of the month can be returned up until the 15th of the month.
SCREEN PROTECTORS ARE NON-REFUNDABLE.
B) Returns/exchanges must be done at the original point of sale.
C) Returned/exchanged phones, data devices and accessories must be in "like new" condition.
- “like new” refers to no scratches, marks or physical damage where the equipment appears used/prevents proper function or would
Page 1 of 3 COBRIIN201911
CO - Brighton
2237 Prairie Center Pkwy, Unit A
Brighton, Colorado, 80601
United States
20/11/2019 14:20:10 AM
7206829817
Transaction ID 78194013
RRN 602175525
MID 802456242 TID
925 Sequence# 1
AMERICAN
EXPRESS
SALE ***********8813
Entry Method: Chip Read
TOTAL USD$869.31
APPROVED 869420
Mode: Issuer
AID: A00000002281731
TVR: 0000008000
IAD: 064A010360A002
TSI: F800
ARC: 00
TC:8A6FA81659BCEC7F
The issuer of the card identified on this item is authorized
to pay the amount shown as 'total' upon proper
presentation. I promise to pay such total (together with
any other charges due thereon) subject to and in
accordance with the agreement governing the use of such
card.
_________________________
Cardholder Signature
Page 3 of 3 COBRIIN201911