Card Payment Receipt

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Card Payment Receipt
Card Payment Receipt
Merchant Details (use company stamp if available)
Merchant Details (use company stamp if available)
shown above upon proper presentation. I promise to pay such amount (together with any charges due
shown above upon proper presentation. I promise to pay such amount (together with any charges due
thereon) subject to and in accordance with the agreement governing the use of such card.
thereon) subject to and in accordance with the agreement governing the use of such card.

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