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Payment Receipt

Date: 11/05/2021

Customer: Michael Ronald Rapp

Customer Account #: 4130793

Office Location: AZ MVD NOW

Receipt Number: 22643175

Services Service ID Description Product Amount


Renew Registration 33062371 5TFPX4EN4DX014017 $124.56
Registration Fee $8.00
Reg Penalty Fee $24.00
Vehicle License Tax $89.71
AQF $1.75
Postage $1.10
Total Amount: $124.56

Payment Method(s) Amount


Electronic Payment 007272 $124.56

Amount Tendered: $124.56

Amount Returned: $0.00

In accordance with Arizona law, this facility is an Authorized Third Party Provider for the Arizona
Department of Transportation Motor Vehicle Division. The provider may charge an additional fee for the Total Amount Paid: $124.56
added service and convenience.

Visit AZMVDNow.az.gov

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