TWIC Receipt

설정

통화

형식

글꼴

텍스트 색상

변형 선택

헤더

헤더 정렬

크기

로고 정렬

사용자 지정 메시지

메시지 정렬

두 열 정보

Column 1
Column 2
Column 1
Column 2

날짜 및 시간

정렬

항목 목록

Quantity
Item
Total price
총 행 수
제목

결제

제목

바코드

크기

길이

사용자 지정 메시지

메시지 정렬

라이브 미리보기

Logo

TWIC Enrollment Center Transportation Security Administration (TSA) U.S. Department of Homeland Security Enrollment Center #TX-204 245 Port Authority Road Houston, TX 77029 Phone: (713) 555-8421

-------------------------------------------

Transportation Worker Identification Credential Application Payment Receipt

-------------------------------------------
Applicant Name
Jason Mitchell
Application ID
TWIC-784512
Date of Birth
08/14/1989
Enrollment Agent
Sarah Collins
ID Type
Driver License
Center ID
TX-204
ID Number
DL-45872193
Transaction #
559281
-------------------------------------------
Application Date: 09/28/2026 Time: 11:08 AM
-------------------------------------------
1
TWIC Enrollment Fee
$125.25
1
Security Threat Assessment Fee
$22.75
1
Service Charge
$5.00
-------------------------------------------
Subtotal$153.00
Tax$0.00
합계
$153.00
-------------------------------------------
Payment MethodVisa Credit Card
Card Last 47294
Entry MethodChip
Authorization Code559821
StatusApproved
-------------------------------------------
1234567890

Please retain this receipt for your records. You will be notified when your TWIC card is ready for pickup. For status updates, visit www.tsa.gov/twic Thank you for enrolling in the TWIC program.

다른 템플릿을 탐색하십시오