Domino's Receipt

Date Format

Font Style

Date

Time

Store Name

Store Number

Telephone

Order Status

Order Number

Server ID

Order Type

Customer Name

Delivery Address

Delivery Instructions

Payment Type

Payment Options

Last 4 Digits of Card

Reference Number

Approval Code

Amount

Tip

Agreement Message

Del Exps ID

Tip Message

Footer Message

Currency

Without Watermark

I agree to the Terms of Service and confirm legitimate use only.

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Status: APPROVED

1644

Domino's Pizza

7093900600

26/06/2026

10:10 PM

Order

155418

Server

3134

Delivery

FRANCISCO

                          2790 Ln 
                       St, Kannapolis

LEAVE AT DOOR & NOTIFY :)

VISA

CREDIT CARD #

xxxxxxxxxxxx2245

Reference

749422201

Approval Code

530833

Amount

$71

Tip

$10

Total:

Signature

      I AGREE TO PAY THE ABOVE TOTAL
    AMOUNT ACCORDING TO CARD ISSUER
                         AGREEMENT

Del Exps ID

556632

10% tip is $3.19 for a total of $35.13
15% tip is $4.79 for a total of $36.73
20% tip is $6.39 for a total of $38.33

  ANY DELIVERY CHARGE IS NOT A TIP
PAID TO YOUR DRIVER

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