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GAS STATION BRAND ADDRESS 1 ADDRESS 2 ADDRESS 3 CLONTACA ENTERPRISES 5555 SOUTH ROAD SHER CO IDAN 10061216 DLR #

12/2 CO 2/11 10061216 PUMP 15.890 7 GALL ONS @ $2.399/GAL FUEL $38.12 TOTAL M/C TL/NOT AX TAX PD RECEIP T NO. THANK YOU! THANK YOU $38.12 $38.12 $38.12 $0.00 1-2661

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12 FOR THIS RECEIPT

THANK HEAVEN FOR XYZ GAS XYZ GAS ADDRESS 1 ADDRESS 2 PHONE #768755577394 STORE #33853

TID: 00073385381 88 VISA ************4 063 REFN 928000 10 885 9 11/12/2011 11:42:22

PUMP GRADE PUL GALLONS 1 PRICE/GAL $ FUEL $ SALE APPROVED 555943 THANK YOU USE MERCHANT COPY FONT SIZE 15 FOR THIS RECEIPT

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