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American Express Transaction Record Customer Copy www.americanexpress.com Customer Service: (800) 555-3491

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This is a record of your transaction. Thank you for using American Express.

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Cardholder Name
David Richardson
Transaction ID
AMX-784932
Card Type
American Express Gold
Authorization Code
559284
Card Number
3005
Merchant ID
MRC-220481
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Transaction Date: 10/30/2026 Posting Time: 2:36 PM Merchant Name: Urban Outfitters Location: New York, NY Category: Retail Purchase
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1
Purchase Amount
$9.99
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Subtotal$9.99
Tax$1.03
Total
$11.02
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StatusAPPROVED
Entry MethodChip
Reference #728394615028
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1234567890

Please retain this receipt for your records. For disputes or queries, contact American Express support. Thank you for choosing American Express.

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