i ge t, ut e8 · i \'ii. tg @ nr r canada your booking is ccnfirmed booking reference : lyrcxv...

16
tr; o 4 a + {q d G d { {e EI { (J d .g E ,, qr ti €; ! i' \ '{ n} o o X IU {, E, tU d, .{ o t! .t 0 {D & o 0 x {u 5 E c ';i e q o o x ilJ p ({ o 7 E ut $ E <( { F + 1 a t o D q l J D n x l.) o e R ) x o s s 5 6 o E E I o o x d d G I \ o 6 { a d B b @ N ,1 q E { o n H c 6 N il o E I o .g <( 3 .5 4) g l! i I o E t: ,9 a { e a s o{ N /r g e h t IJ X {U w, ,d 6 x EI o a o (f, rp (p to +, c) ox o.x gE u s# oc) E8 6O -x 12 r.rj UT g, x, 00: I * m o llJ qGt H(S ru+ t, 1) e {, ft, E q (l- o M, o o o f,L x UJ ti$ J$ ti$ d n$ r'1

Upload: others

Post on 29-Jul-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

tr;

o4a+{qdG

d{{e

EI

{(Jd.gE,, qr

ti

€;!i'

€\

'{n}ooXIU{,E,

tU

d,

.{ot!.t

0{D&o0x{u5Ec';ie

qooxilJp

({

o7Eut$E<(

{F+

1atoDq

lJDnxl.)oeR)x

oss56oEEIoo

xddGI

\o6{ad

Bb@N,1q

E{onH

c6NiloEIo.g<(3.54)gl!iIoEt:,9a

{easo{N

/rgehtIJX{Uw,

,d6xEIoao

(f,rp(pto

+, c)oxo.xgE

u

s#oc)E

86O-x12 r.rj

UT

g, x,00:

I*m

o llJqG

t

H(S

ru+

t,1)

e{,ft,

Eq(l-oM,ooof,LxUJ

ti$J$ti$dn$

r'1

Page 2: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

'"i'ttt, \ :.{

ol\ot \

K$&dffi ffi *l*.*.*.1mo*urp

Accoint ilame:

Gompany Name:

Employee lD:

Statement Date (MM/DD/YYYY) :

Statement Summary:

Report any items which do not agree with your recordswithin 30 days of the statement date.

For your records only. No payment required.

Transaction Summary:

StatementELLSWORTH, RANDALL Gard Number:

LEGAL AID ONTARIO Account Limit:

000001396

08/03/2019 Currency:

Payments:

Adjustments:

Net Purchases:

Gash Advance:

Fees:

Other Charges:

New Account Balance:

",'":;''w

Fre-Tai AmountAuth #l

$ 815.01

068491

$ 49.87

054833

Page 1 of 3

CANADIAN DOLLAR

$ 0.00

$ o.oo

$ 901.84

$ 0.00

$ 0.00

$ p.00

$ 901.84

fotat fax Trans AmountlXifitlisliQblC

i,'.1,.,i,,

07122

07t24

- oii:ii

nosil;g oit"Trarii tD

07t23

301 829739

07t25

. 30?1?8805

07125

302198806

$ 26.97

031988$ 3.51 (e)

bescriotion t '.:-,-. ..'.," : :::,::

AIR CAN 00142116381603 AIRCANADA.COM MB

PassengerNamet'::"l t:':": . AIRLINE LIMOUSINE SERV WOODBRIDGE ON

$ 0.00 $ 815.01

$ 6.48 (e) $ 56.35

9848614 CANADA INC FAUQUIER ON

TOTAL CREDIT

TOTAL DEBITS

$ 30.48

$ 0,00

$ 901.84

Page 3: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

\

I

\'ii.

tg

@ nr R cANADA

YOUR BOOKING IS CCNFIRMED

Booking Reference : LYRCXV

Passe nge rs

fr Mr. Randall Ellsworth

Ticket Number

014211 6381 603

Aer:oplan

348737594

€:2 Depa rt

tt) ,, i.

l',.\.lhr i.*,, '{

Travel booked/ticket issued on:22 )uly 2019

Seats

AC82B3 7D

AC82B8 BD

Wednesday

24 )ul,2019

08:00

TorontoToronlo-Pearson Int. (YYZ), Canada

Terminal 1

).:i,...-.t".a- "'*

09:38

Timmins/VT(\ t-rn:r{:

t hr38Economy (H)

Operated by Air Canada Express - Jazz llash 8-300AC82B3

Page 4: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

Wednesday

24 )u1,2019

18:45

Timmins/\/Ta \ -- ^ ^; -(I l),ll Ldl ldud

AC8288

" '20'24'c *\

; €' $i tToronto)i' ' 1

Toronto-Pearson lnt. (YYZ), Canada

Terminal 1

t hr39Economy (H)

Operated by Air Canada Express -Jazz Dash 8-300

Pu rchase su rn ma rV

Q CANADA, U.S.: 1 (BBB) 247 2262\

i.:,il\:',." Air Transportation Charges

Base Fare - Departing Flight - Econor"ny - Flex

tsase Fare - Return Flight - Economy - Flex

Surcharges

1.*i ':-ir Taxes, fees and charges

Harmonized Sales Tax - Canada - 100092287 RT0001

Air Travellers Security Charge - Canada

Airport lmprovement Fee - Canada

GRAND TOTAL - Canadian dollars

1 Adult

324.00

324.00

24,00

93.76

14.25

35.00

$915.o1

S nr R cANADA

htf ns'//lrw airc anarla aoml ca lenlacolhnmc html#/cnnf'

A SrAB A|.r-tANOr rurr:unen {3''

Page 5: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

\' | \r",rtrnron,u

,nuoro /n., ' '-'194 fltcil[AY 11

I AUoirll li. llli Put ltiuh,15315:i556

Fft"r {i,.l,r lt'i aZ sUiagflr,il llr: utib ltcr fi. uuz

a\IbEle

[nirv llethod: Chip

. .. i1.- ,i:* -Ii+-"*.ra,. 1...1_.r,, ,

W .Fl :. .\ at 'N :.' : ',j

AtRLiil= LtdvtoustNE260 REGTNA RD 11

"IAOODBRIDGE ON \,r .

416.675.3638 - .$," 905.676.3210

. 1.800.263 5466

1/ 1" i,cARfi36. $'ir" \t|..::',l-: I SALE

Clerk #: 004838TID: P$320236 REF#; 00000008Batch #: 430 SEQ: 001430008

9it?4|ts 2107:00

lnvoice #: IAPPR CODE: 05.f833

D Chip98 **/+*

01rI4tI|

Iw ll; 000002

Apprvd

' fimount:

Tjp:

ll; ?B;19

Appr Code: 031t88

Batchtlr 20$004

$ 26,50

$ 3,98

AMOUNTTIPTOTAL

$4$.00$7"35

$56.3$Total: $ 30,48

By enlerrng a vcr.rfred Plli, cardholderag ees to pay rssucr' such toisl il

accordance qrth issqer's agreement uti.hcardholder (llerchant asreement rf credrt

vdrt lr*r ) .

Retain thrs copy for statenenivcr.i fi.( dli ioil.

Arplicatio[ [-abel: lla:terf,ardAll': Aulr!,i)oLtu0rll.u10ivfi: i40 !i0 00 80 00lSIr ti8 !l!l

AFPROVED

MasierCardAID: 40000000041010

TVR: 00 00 00 80 00

TSI E8 OO

Bl ilrlfftili0 A ljrRlilED ililcAR0|{0t 0tR A0Rrr$ r0 pAr i$$utR

s|Jcil I0IAL illACC0RDAflCt fiHll tSt|jtft'S ,r

A0nltililtIIlITII CARD|lOTDIN

tiliulriri,AtRL|NELtMo.coMThank you for choosing

Airline Limousinel/\le do prearrangedAt Toronto Pearson

CUSTOMER COPY

Crrctori"'r Oopy

Page 6: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

". ;"' l. ." Ji

*;

o{.1{g(}nt

oTJ(tqa

t

.T<t

o.a,r9<rI

,i

o{a(tcj

a{<te;

&

D(gqlo

()*)x{lJ$gtE

0&4${)(t{fl

tt{)XlU-gg'6trz

ttq){)xIIJ'6E

{,a()

UE<{

{t0Eluo

:5-o:5qr!L.\s-t

F6o€*Nadlquqooa

4{

0$mq

z

{sldg6Itu

cs&0Etrq0sc.g

Eet3Nts

ea

zc

$fiLl

3&sEoageFA

s*xxE9

c1F6

oi3ee

30)\\

oEI

(l|trooofLxIIJ

{**

-$ €atgt!txU

la,@axul@oo4tI

N@(oCO

rr <5

oxe"x-q6tg c)

eSH

ts'xd-o

fiE

6'fi5{)ttj

UL

*EJc)LbIt(,o!Fg6tr03S!<

F3{a

$m>_OE

tlt tts

tJg

u

\*

Page 7: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

l

F% /.' : , ,

11 rt'-.t

'"11i$&,ltliot"lxl!'*u'n{' lll1il;Il;l;Au(iA oN 1511E?

'It i :lll5-\;24-242c

": . , itti i lt ,i ulll.rt.R0l'0RTTAxI.C0n

-,... t \

-

*: \ u T::ilill:lll;"u'""" (' u' a"

lierle

DTBIT tntrv I'lethodr ChiP

Acct TYPs: Sryitilts

0i44/19 06:43115

hvil:OCIOtl0li APPrtoder4l8ll5

Apprvd Batchflr 20[001

'Iracei lr031l4i:1'9

Retrieval lte: $ 001i000ti12

Arrountl $ " 3?'00

Trp ,i==="===-ii:

42,[5 /Totalr

No srgnatttrc rrrulted- Verriied bv PIN'"iou.-""",,u"" rr"II be debrted uith the

'llrovll atnortnt'

Reta;n r:h lt crrpy for statement

'u'ri r:icat tort-

!

Applrcatiorr Librr, : ..nterac

AiDr A0000(lOil'7:.lll0TVR: 80 00 0ll 8(l B0

ISI: 6$ 00

Cttr,tott*r'Cof>Y

REC Ol*24"-2.018 i6;17000 1 55cT1

1 DEPt0181 DEPTOlO

TA,ITX1TA2IX2TA3TX3TLCASHvu

r 12 $ 10. 95,T3 $2. ?4+$10. 95

$0. bI$10. s5$0. s8$2. 24$0.29

$"1 4-s1J$2o. oo$5.09

I/

g

TIC

'ilTTRECAIER I iI6

8578t2 242RT0 0i

Page 8: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

*jt

{trf

6(L'eeei

dct,o

{{jc!l

t|,o@q)a!(trJ(}dl5aut

!l{0o0c{d

{IA

{{;a{;Xlt{;{xl4.Edi&e

oog()xilJtpgu

V.E{

''{){toUJorlt

nE

!

"es

.{a

$qgoIL>()R

gogdl

EoroH

g'E0pfi*oo'frrt*@qa€@0,

otErfNft

tt€h!tti)Xulvt{}IgCL

rlItlEu,olt.{l

io#(36RE

;{-916(ro

aYosE{5ll,6mLL:oo.fl!4 llJqra

*EcdZ

3a€l=$

Lll

(r ttt

uitr

A'

aooo

oo.(1)

Eq){4cCI

ctxLg

W-3r_$dtrffi

Page 9: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

Report any items which do not agree with your recordswithin 30 days of the'statement date.

For your records only. No payment required.

Transaction Summary:

i{\

Page 1 of3

CANADIAN DOLLAR

$ 0.00

$ 0.00

$ 2.50

$ o.oo

, $ o.oo

$ 0.00

$ 2.50

Payments:

Adjustments:

Net Purchases:

Cash Advance:

Fees;

Other Charges:

New Account Balance:

Tiahs+Eate ,Fosting,,Date. DesGriptioh ' .

Tfans tD

OB/29 O9IO2 CORP OF CIry OF OSHAWA OSHAWA ON

308100750

:Pre'TaxAmognt :Totat Ttix T,rans ArhountAuth #

$ 2.21 $ o'29 (e) $ 2.50

035042

TOTAL CREDITS

TOTAL DEBITS$ 0.00

$ 2.50

Page 10: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

" : a- t,' t**.1; "#{.";Tf,r I .'9,-..'.r' ,, r*t? R

\' | \\ ,'il'

. ;rAh.j

= ",ii. '. .

/!t/

/ j \

WELEUEE 1i_- -

GITY 0F -osH0tdn _

PLERSE KEEP,,,i,,,*,,' tirl IH yOU

Pdid 0n:zgt9,/ Bg/Zg 1E:12Entered:2819/UB/29 BB:48Duration : I :24:12Tick*tfi:8ZB Z6SZ 1

0rig-Fee:$ Z_50_.Paid: $ z.s 6HsT: $ s.zc

t: ttr: \ i.{

-;-ii\ \

Chenge: $SC: $

0- B00- B0

Card TJpe:I'|RSTERCRR0

Seq 00135800!B 66162582Purchase 19/ EE/Zg 1 0:.12:S.lRuth B$5842RCI/rso [27r'8181/1127 RPPROUED - THRNK V1IU

Page 11: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

,i

n{(J!oqF'{f,i

{t

o4{JFctc;

e+:!\

.t{tQ

{

{naamxUJoaFUl

osqOJ

E<[m(0

oa{,xuJomg.E&z

dong.l

UJ

'6E&

lst{,l{rlo)toItsl{d

{)sEtl,o{B

d-(JfrrNo{L]wts:H$gsqEf.t

X{F{th0sE{4o3oteFo0=0FoooEiI

'xEbsL'

xo

3?6!

r333

IXswqn'

cjIlsI3!

,((]670$o€Eg'frdse'x,F

:.l

oN1:l?

F

$qfrB"

\

z

Jqq\ItNNoII

J3uJPlsrI)

o(!i6NEit'5oo==ec],spox

g5?t

('J06co#435Ro.x#E

a965rcLoF

9uIo

oc

{t rYth-oq)a-

9!,

3q)ac|*rilii>l,'c

nE

Eo3to

6[U{.Jt!

llln(

{,{,E{,(

og"otr(ua(l'ttxUJ

H*

,...,n

IJqf3l

ffi

Page 12: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

&"d$$&,S$ W F'iraarucierl Gr*ttgr

Account Name:

Gompany Name:

Employee lD:

Statement Date (MM/DD/YYYY) :

Statement Summary:

Report any items which do not agree with your records Payments:

within 30 days of the statement date. Adjustments:

Net Purchases:

Cash Advance:

Fees:

For your records only. No payment required.

Transaction Summary:

Trans Date Posting Date DescriptionTrans lD

09/04 09/04 PORTER Al 77600212930160 TORONTO ON

308491591PassengerName Ellsworth/Randa

ricketNumbe:. i?9:0'z]::3:160

09/06 FLASH TAXI INC TORONTO ON

308846330

09/09 AMBASSADOR TAXI MARKHAM ON

309078071

StatementELLSWORTH, RANDALL Gard Number:

LEGAL AID ONTARIO Account Limit:

000001 396

1010312019 CurrencY:

Other Gharges:

New Account Balance:

TOTAL CREDITS

TOTAL DEBITS

Pre-Tai Amount Total Tax

Auth # 'I

$ 2,588.43 $ 0.00

098300

$ 24.78 $ 3.22 (e)

078041

$ 24.11 $ 3.14 (e)

077616

'Pagelof3

$ 5,000.00

CANADIAN DOLLAR

$ 0'00

$ o'oo

$ 2,643.68

$ 0'00

$ 0'00

$ 0'00

$ 2,643.68

TranS Amounti

$ 2,588.43 J

,1

'5" :: i *p 4t

.\\t

j'i tr-t', \*$'

09/05

09/05

$ 28.00

$27.25

$ o.0o

$ 2,643.68

Page 13: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

'Ii""

pGrtsr;Thank you for booking with'Porter.

Your payment has been received.

RANDALL Craig ELLSWORTH 8380p00954

'Flights

PD 215 Toronto Uf4 to Ottawa (YOW) Sep 5, 2019 at 8:30

Flexible Fare AM

Discount

Taxes, Fees and Charges

Air Traveller Security Charge

NAV and Surcharges

Airport lmprovement Fee

Harmonized Sales Tax (HST)

PD 256 Ottawa (YOW) to Toronto (YTZ)

Flexible Fare

Discount

Taxes, Fees and Charges

Air Traveller Security Charge

NAV and Surcharges

Airport lmprovement Fee

Harmonized Sales Tax (HST)

Se'at Selection

David McKillop: ).: t.

Flichts' r : :

l:vl

PD,215 Toronto (YTZ) to Ottawa (YOW)

Flexible Fare

Discount

Taxes, Fees and Charges

*'"',.'.,

Booking Receipt

Sep 5,2019 at 5:00PM

2360002520

' . .i'. ...

1,. :.,. ..

Sep 5, 2019 at 8:30AM

$862.81 CAD''

$862.81:

$399.00

-$59.85

$92.82

$7.12

$21.00

$15.00

$49.70

$399.00

-$59.85

$91.69

$7.12

$12.00

$23.00

$49.57

$ 0.00'

$862.81 CAD

'$862 81

$399.00

-$59.85

$92.82

Page 14: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

{ .:.;f €r i&

:,

NAV and Surcharges

{irport lmprovement Feq

Harmonized Sales Tax (HST)

PD 256 Ottawa (YOW) to Toronto (YTZ)

Flexible Fare

Discount.

Taxes, Fees and Charges

. Air Traveller Security Charge

NAV and Surcharges

Airport lmprovement Fee

Harmonized Sales Tax (HST)

Seat',Setbction

DAVID FIELD

Flig.hts, , ,,, ' ,,,' ':'':,,,i:',i '''...,-,' ..:. , :.,,.., . ,, , . .. . ... .

PD 215 Toronto (YTZ) to Ottawa (YOW)

Flexible Fare

Discount

Taxes, Fees and Charges

Air Traveller Security Charge

NAV and Surcharges

Airport lmprovement Fee

Harmonized Sales Tax (HST)

PD 256 Ottawa (YOW) to Toronto'(YTZ)

Flexible Fare

Discount

Taxes, Fees and Charges

Air Traveller Security Charge

NAVend Surcharges

Sep 5, 2019 atPM

,,l,tll',,,,,,,,

2350007560:'. :. ::: : :::::::.'

,,.,.1 ,' ... ,....,

Sep 5,2019 at 8:30AM

sepPM

5.2019 at 5:00

*'..

' t \,,!Air Treiveller SecdritV Gharge $7.12

t,.t $21.00

$15.00

$49.70

$399.00

t,'' t, i't

.itu+t \{:'t'5:00

-$59.85

$91.69

$7.12

$12.00

$23.00

$4e.57l1

$ o',oo

$862.81 CADt ,,',, , $ ai;all

$399.00

-$5e.85

$92.82

$7.12

$21.00

$15.00

$49.70

$399.00

-$59.85

$91.69

$7.12

$12.00

Page 15: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

,, , ..i- 1r$-.t. ' :

' | \,',1. Airport lmproveir/ent Fbe

Harmonized Sales Tax (HST)

Seat Selection... i

Total cost

Payment summary

Transaction Date

Sep 4, 2019

Total paid

Method of Payment

MasterCard

Fayment r Ar,noLr nti

r ..

$2,588.43

,,$2isoar+3,ino /

'lr. i;

,* l, \e'

*:,"'{

$23.00

$49.57

"$,0',oo

$2,588.43 CAD

iPff.eht Slatus

Approved098300

GST/HST Number'ga15eg;z71

'QST Number

1212573775

Page 16: I gE t, UT E8 · I \'ii. tg @ nr R cANADA YOUR BOOKING IS CCNFIRMED Booking Reference : LYRCXV Passe nge rs fr Mr. Randall Ellsworth Ticket Number 014211 6381 603 Aer:oplan 348737594

;1 9{*

\ r",

g6

III

.': ]

l" ' ", :'''"".'" '

' AMBASSADi al | ' .'6 3 FORF$Trriit)OK DR

MfI1KHAM , ON

eF':tt','

CARQ' MASTERCARD

DATE ''"" ?019/09/05-'T{,[ME' )L 7987 18:27:15{:nEcrrPr

NUMBER

c850590CI3-0ll 1 -069*086-0

rn-nfiffinH$fiitrsu; -effit09/95/e019 ? i

put chase

Iffi?'#r r$ t-*$l*furlH

0UQuUr; sflJ. soIlfot'li': ;fifiiSflfiprnourl /

Iglr: ^ . APPRoUED-oooHnrn,,{.ode: _ 0?gg4f#F{ s; - _ryosrr5?65i8$Xnu*,** nf,fli3fl?uf,8frfififlfi

f,pp. Hare :,^__[4sterCand$lg; Aoosg08ffs4t-Elo

ilfi ooooousson

TC: 5ec565CBlEscE5sH

Approved 0fi0 Thank IouUenified Bc FIH

cusTOitER C0Fy

PURCHASE

AMOUNT

TIPTOTAL

'1..r 1 7 \

.i,4. $0

$27.

MasterCardA00000000r110 t0

37AA30A30088A4C8000000800fi-8S00A46S0S7BEC3 17784

AP PROVE DAUTH# 017616 01*027

THANK YoU !CARDHOLI}ER IOPY

IMPORTANT * RETAIN THIS

COPY FOR YOUR RECORDS

{16 , 451 ,4163

??