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STORE 612
13945 Missouri Bottom Rd
Br i dgeton,l40 63044
3t4-291-9416
07 i30/2023 Tkt #3645713

Typer SALE (uRTGIttiL .r

0ty Name Pnice Total


1 PREPAY FUEL L) . 1t) 60.00
Pump: 72

Subtotal [, .; rr
Sal es Tax rlil
Tota I t: t-jr

Rece i ved :
VlSA 6:i [I
xx rx *x x x:rxxx!$$$ TAP
Auth No: A64120
INVOICE# 67621
Irrvoice Nunber 67627
AID: A0000000031010
APP: VISA CREDIT
Mobi I e OVi'1

Si gnature

Thank You 1'or \ ,Llr Purchase


Please tel I r how we rJid
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