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efta-efta00313731DOJ Data Set 9Other

e27/72a/

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DOJ Data Set 9
Reference
efta-efta00313731
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
e27/72a/ New York Store 748 Madison Avenue New York 10065 - NEW YORK USA Agreement of Purchase Purchaser: XU00048932 - EPSTEIN JEFFREY Date: Sale receipt*: Cashier: Associate: 10-01-2017 14:20:20 US01 - 13 - 42545 300321 300596 Item * Description Qty Retail Ext Retail 2M835FAE64531 2MG35FAG3533i 2MB35FAE64531 2MG35FAG35331 PANTALONE MERANO, MA76. 44 BOMBER KIMBERLEY. MA74, 44 PANTALONE MERANO. W000. 50 BOMBER KIMBERLEY. W000. 50 1.995.00 1.975.00 1,995.00 1.975.00 1.995 00 1.975.00 1.995.00 1.975.00 Total Qty: 4 Tax Area Used: 200 - NEW YORK Payments: 8.875% INVOICE TOTAL: Subtotal 7,940.00 704 68 8,644.68 AX 8 644 68 Change due 0 DO SALE TERMINAL ID 83919G4 RESP CD CO INVOICE 1831342545 ENTRY METHOD CHIP APPROVED 062550 DATE/704E 10131/2017 14:19.55 CARO TYPE Amaral Exprns CARO a XXXXXXXXX/(M. AMERICAN EXPRESS ATC ARCC AID TvR TSi E8O3 AMOUNT USD $8.844 58 I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT( MERCHANT AGREEMENT IF CREDIT VOUCHER) EPSTEINCJEFFREY CUSTOMER COPY 61 I F--r-3 01,-4Q kAi14 ) (Cfe-N4N-4(__ _ Signature: Merchandise may be exchanged or returned for store credit within ten days of purchase in its original condition with all tags attached and accompanied by sales receipt. No refunds will be issued. Store credits may be redeemed for one year from original date of purchase. All altered, custom, special order, and vicuna items are not returnable or exchangeable. EFTA00313731

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