September 08, 2003 2:03:10 PM
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Record Request
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Print a copy of this receipt and keep it for your records.
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Credit Card Transaction
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Authorization number:
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514705
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Transaction amount:
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$13.00
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Customer Information
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Name:
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RACHEL MARIE BEAL
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Date of birth:
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11/09/1980
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Record Description
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Record type:
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Employment Driver
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Certification:
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Yes
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Your record will be mailed to you within 5 business days.
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request one now so you'll have it when you do need one.
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