Prudential Financial Receipt

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

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Prudential Financial, Inc. Customer Service Center 751 Broad Street Newark, NJ 07102 United States Phone: (973) 555-4821

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Payment Receipt Confirmation Thank You For Choosing Prudential Financial

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Customer

John Doe

Receipt #

PR-902145

Policy Number

PRU-55842109

Agent

Melissa Carter

Account ID

AC-784512

Branch

Newark Office

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Payment Date: 11/25/2026 Time: 10:12 AM

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Premium Amount

$250.00

Service Charges

$5.00

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Subtotal$255.00

Tax $32.51

Total

$287.51

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Payment MethodBank Transfer

Bank Ref #748392615

StatusSuccessful

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This is a system-generated receipt. Please retain for your records. For support, visit www.prudential.com or contact customer service. Thank you for trusting Prudential Financial.

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