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THAI{( Yl"]U FOE SHI]PPIN(] AI


BiI] R I"ALtt]N
lllS) 42'3"2441

i,tE APPllI{] f AlI Y0l]ll BtiiilNESii I


Vislt Ln at BII]RI^IEST.l]0l4

N[VADA ! IiANCl-l, i.ARI'l & Ilt]l.{I:


SUPPLY tIAI)ER
111??l'13 4:il?.Pt,l 25u3 5!l sAtfl
438510 I EA $119,95 EA

ADJ HU0F l.:LASHINLi (b )(61-AI'"6 $1le.ti5


5?06iJ90 1 EA $39.e9 [A
f-tASr-tt.I0Hl RE0Hti lil0uLl''1(DAVlN $39.99
225?lt1t 1 [A $15,99 EA

lll4H SDS r,r/N[i] (1tL-16x1 ) $15 99


2241202 1 EA L /9 $1 EA

tlED PARAL)IIiD (5i32x1il01 $1 I ' /9


160644 1 EA $7.q9 [A
llRU{,,iDI]r,iL ( x4B ) (hom
I $7 's9 )
5206099 1 EA $49 99 EA

HEADtAI,IP RI[]HG( ] (}{](]LI'l )


$49 se ,

423645 I EA $2 49 EA

[tAt,lP (3-5/E TCI 5"1/2) (hom $?'4e


2200168 1 EA $49 95 EA

PIPI ADAFIIR (b )(6DSP .95


4?1132 ',2 U $r 99 $49 CPA)
EA

INSTRT l\DpTR (1 ) r1957114j $i ,s8 1


,137183 I EA $29,01 EA
1
AlJ.l tEirlNr, PrAIE (r] ) $21 .1
417862 I ri 9'l 90 a,:
PiPE (0x21) tBr", $1i,::
SUB-T0TAL:$ 357.1 1 TAX: $ ZI t4
T0TAL: $ 384 ?3
BC AFIT: $ 384 ?5

BKCARD#: XXXXXXXXXXXX60S2
f,lID :{r*t**+**+**73I 0TID :

AUTH: 814143 AllT: $ 384,25


Host reference #:553013 Bati0000

lID: 00338561

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lil: iii;i;'ilr;l;la
iVR : 000000800u
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ARC r 00
I'l0DE:lssLrer
riVl'l :

Name r MASTIRCARD tltB]T


ATC :0133
AC : C73i't)/F75bD7BC!16
Txnlt]lValCode: 709882

Barrk card l,]st)$ 384,25

lil llll I llllllllllillillllll I lll

'=>> JRltL# F53013/2


CUST N0:*2

TllANK Yt:lU II][]HARL) APUDATA


Ft)R YLJUR PAIHL]l.lA(]E
q-- l:r+.++++++i: iili:
AUTH; 814143 Al'1I : $ 384.2li
Host reference #:55ilul3 tiat#0000

TID: 00338561

Ch i ,: Reao
L-ARi] T /DE IIITSI iRiAIID EXPR : XXXX
"-- "---.JJ..;l-,1.
T vR : 0itJ00080r,u
i I 4tj0/00122iJUUL![bUiJ0lrui,aj0r.]LruU00
.lAt.r r..11

iji ; E8u,i
ARC : rl0
r'10DE : Issue r

Nama r l'lASIERCARD DEBIT


ATC :0u33
Al] ; C732,;/F756D78C96
IxnlDi Va -c:: I 7i9882
f,-...
DC \ ^-.--
-a - us0$ 384.25

lll illl I llll|liiliiltiltilil I ilt

==>> JRhL+ t53013/2


CUST N0: t2

THANK YtlU RI(]HARD APODAL,I


FOR YIJUR PATRI]NAIE

\aire I

- :r'u" trl f,o, :: .,: t-1j :^ -i.lrl


according to card lssuer agreement
(merr:hant agreemerrt if credjt vouclrsrj
Acct: FALL0N CASH CUST0I'1ER

Custr:mer Copy

Keep this receipt fnr al returns, I


exchunges & i4arranty clajms

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