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Pharmacy Receipt

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Famous Pharmacy

10/05/2025 12:18 PM

123 Main St, Anytown, USA

1234567890

REG#69

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#

942059

REF#

2359074

AID

NQUJDV58BK8ZQKFW

TC

4L9LCDBY3RQ5EJ6G

TERMINAL#

49000013

SIGNATURE

MIGGEL

CVM

245047

THANKS FOR SHOPPING WITH US

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