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Pharmacy Receipt

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Famous Pharmacy

11/20/2025 5:24 AM

123 Main St, Anytown, USA

1234567890

REG#33

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#

606764

REF#

2172420

AID

Z4QXXW62DSK1U0JJ

TC

0DXCHXAG121B77Z8

TERMINAL#

20646819

SIGNATURE

MIGGEL

CVM

161863

THANKS FOR SHOPPING WITH US

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