American Express Match Receipt

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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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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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American Express Match Receipt

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