Wawa #8606

8105 Hampton Blvd

Norfolk VA 23505
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3/3/202 4 7 :1 5 : 26 PM
Te,-m: XXXXXXXXX5004
App,- : 829404
Seq#: 003508
Product: Unleaded
Pump Gallons Pri ce
16 8. 123 $3. 199
Total Sale $25.99
Capture

Amet'ican Expr-ess
xxxxxxxxxxx1001
Chip Read

USD$ 25.99

AMERICAN EXPRESS
Mode: Issuer
AID:
A000000025010801
TVR: 0000008000
IAD: XXXXXXXXXXXXXX
TSI: E800
ARC: 00
ARQC:
79628308640203FF

03/03/ 2024 19:13:33

I agree to pay the

above Total Amount
according to Card
Issuer Agreement.
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