12/29/2015 3:18 PM Sales Receipt #786

Store: 1 Workstation: 1
Practice Document
PALUGADA
JL. MANGKUBUMI NO 12
POLAGAN,SAMPANG,68184
Bill To: PALUGADA
PALUGADA
Jakarta
DKI, Indonesia 10450
Cashier:

Item Name Qty Price Ext Price

Sandalwood Branches 1 $200.00 $200.00 T
1 Kg
Subtotal: $200.00
Local Sales Tax 7.5 % Tax: + $15.00
RECEIPT TOTAL: $215.00

Credit Card: $200.00

Visa
Credit Card: $15.00
MasterCard

*** You've earned a Reward ! ***

$5.00 off; redeemable on a qualifying purchase
through 1/28/2016
*** You've earned a Reward ! ***
$5.00 off; redeemable on a qualifying purchase
through 1/28/2016

Thanks for shopping with us!

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