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Pharmacy Receipt

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Famous Pharmacy

08/20/2025 3:57 PM

123 Main St, Anytown, USA

1234567890

REG#75

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#

433463

REF#

2141891

AID

U2HIRRSKAX932MLA

TC

0PU88WTEST0OY2Z0

TERMINAL#

76555644

SIGNATURE

MIGGEL

CVM

720540

THANKS FOR SHOPPING WITH US

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