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SEFFERSOMN, ROAD STORE
620 Jefferscn fil, Suite 200, ATAT STORE
Fenrietta, Ny 14523
(538) 427-7211
Store Ne. R34
OW Tablet Ko. 1
SURJTT §
585-755-7086
69557 $55 RIR 55.00
16 55.00
SUBTOTAL, 53.00
TAX 4.40,
NY Stat2 Pub)fc Safety Coam 0.80
‘Surct arae for 69557
HY County Public Safety Conn 0.30
Surctarg> for 69557
TOTAL AMOUNT DUE 60.60
CONNETKENT SAVINGS - $0.00,
pESSCRY DISCOUNT $0.00
DISCCVER TENDERED 60.60
sect ho. XXXXKIOOKNKKETS2
Auth No, 00494R
CHANGE DUE 0.00
YOUR TCTAL SAVINGS $0.00
CORPORATE
act. Ro. XXXXNXAXXXKES2
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ction ID:XYR341EKCPSHN
OWR K,
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