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Pharmacy Receipt

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Famous Pharmacy

01/05/2026 7:16 AM

123 Main St, Anytown, USA

1234567890

REG#13

TRANS#10

CSHR#12

STR#21

HELPED BY:     MIGGEL

1

Teeth Whitening Strip

$100

ITEM 1

SUBTOTAL

$100

Sales Tax

$0

TOTAL

$100

CHARGE

$0.00

XXXXXXXXXXVISA 4932

CHANGE: $0.00

APPROVED#

402098

REF#

6975866

AID

N6FCWDIVDO2NV7P9

TC

0NYV4BTHT5ZSSES9

TERMINAL#

85427833

SIGNATURE

MIGGEL

CVM

400592

THANKS FOR SHOPPING WITH US

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