DS9 Document EFTA00593349

cki It It 69 It es PROT0 PROT1 PROT2 CLYDE CHEMISTS LIh ED NEw , NY 10021 Ili PIN VERIFIED NO SIGNATURE REQUIRED WALKER 4x9 Z 14.50 SUBTOTAL 14,50 NYS/NYC 8.875% SALES TAX 1.29 TOTAL DUE 15.79 DEBIT 15.79 CARD NO. : ***********illill EXP DATE : **/** ITEM # : ZOHY AUTH NO. : 195220 TRANS TYPE: PURCHASE ENTRY : SWIPED TERM ID , 33665101 12/14/15 13:05 IB 02221192 01 PROT3 CLYDE CHEMISTS LIMITED NEW YORK, (H)Rx# 63 169.95 SUBTOTAL 169.95 TOTAL DUE 169.95 DEBIT 169.95 CARD NO. : ***********- p TXP DATE : **/** SN ITEM # : NL29 335 AUTH NO. : 114769 TRANS TYPE: PURCHASE ENTRY : SWIPED 7U1r TERM ID : 33665103 5 NWED/ cEmi. PIN VERIFIED NO SIGNATURE REQUIRED 12/15/15 17:59 BH 02221764 03 PROT4 New York, NY SALE 10022 CINIIABARWT/BL/M/NO 41347900 p169.99 BC REGULAR PRICE 240 00 RIDGELINE SILVER 42191155 P29 99 A REGULAR PRICE 45 00 BASICSLAIO/WH/SMAL 41905465 19.99 EXTREME COLD OTC LT GRY 10-13 030522 22.99 860 'ILUPERUVI/WH/ONES 42123343 p20.00 :2E511LAR PRICE 25,00 -i:XP0SURWINW0NES 12110819 p1 0.40 REGULAR PRICE 13.00 CARGOWPANT/BP1WH/S 38832541 p 55.99 REGULAR PRICE 79.99 LOYALTY ENROLLMENT 753552 32565856 0 00 on! vE 5 sS r)` SUBTOTAL A = 8.875v. Sales lax $329.35 B = 4.000% Sales fax $2.66 C = 4.875% Sales Tax $6.80 TOTAL $8.29 DEBIT VISA $317. 10 AUTH# 414223 $347. 10 12- 07-2015 13:90:33 REFERENCE 4: 103201 * GET 5% BACK WITH FWC PROT5 grace s MA1KETPLACE EA 190 GRACE'S MARKETPLACE TIFFANY 0001 01 01150128 12/24/15 4:16pm 870 6 $ $1.50 EACH FIJI WATER16.90Z $9.00 T NY BTL DEPOSIT $0.30 2.08 lb @ $0.99/lb BANANA $2.06, 1.49 lb @ $2.49/1b MANGO $1. ) APPLE GRANNYSMIT $3.7A .58 lb (0 $3.49/lb ORG PEAR DE ANJU $2.02 AVOCADO $1.99 .62 lb l $2.99/lb PEAR COMICE $1.85 PEAR CACTUS , $2.99 LEMON $0.69 KIWI $0.79 2 (0 $2.99 EACH PERSIMMONS $5.98 .78 lb ® $3.99/1b MANDERINE $3.11 ORGANIC BLUEBERR $7.99 ORG RASPBERRIES $6.99 ORG BLACKBERRY $6.99 SUBTOTAL $57.95 NY SALES TAX $0.80 TOTAL $58.75 D $58.75 997296 PROT6 GR ' S MARKETPLACE 0001 04 0412b110 11/23/15 3 @ $1.25 EACH FIJI MINI 330ML 1.54 lb @ $1.99/1b ORGANIC BANANAS 1.28 lb @ $2.99/1b PEAR FORELLE 1.28 lb @ $3.99/1b ORG APPLE GRANNY .48 lb @ $2.49/lb APPLE PINK LADY LEMON .97 lb @ $1.99/1b APPLE REDDELICTO .51 lb @ $2.49/lb APPLE GOLDEN .47 lb @ $3.99/lb ORGANIC APPLE F0 ALBANERY 1:29pm 230 $3.75 T $3.06 $3.83 $5.11 $1.20 $0.99 $1.93 $1.27 $1.88 k SUBTOTAL. NY SALES TAX $23.02 ., \eq.. $0.33 TOTAL $23.35 ie& 9?' <' p nigliplir $23.35 0-SAN' 30 AUTH # 705100 REF # 044410 SP) g nAA,4^ 16 PROT7 craCC S5 ARKETPL AC P i9$5 0001 03 03085686 12/02/15 10:41:g% FIJI MINI 330ML [repeated 3 times] $1.25 T 114 1 1.98 lb 4) $1.99/1b ORGANIC BANANAS $3.94 2 @ $1.49 EACH MANGO $2.98 .98 lb @ $1.99/lb APPLE REDDELICIO $1.95 .41 lb $2.99/lb CLEMENTINE $1.23 LEMON $0,69 PERSIMMONS $2.99 .61 lb @ $1.99/lb APPLE ROME $1.21 PERSIMMONS $2.99 .86 lb @ $2.49/lb APPLE GRANNYSMIT $2.14 .46 lb @ $3.99/1b ORG APPLE GOLDEN $1.84 PAPAYA HAWAIIAN $5.99 .44 lb @ $1.99/11) ORGANIC APPLE FU $1.75 SUBTOTAL $33.46 NY SALES TAX $0.33 TOTAL $33.79 302 IIIIIIIIIIIII/Illgp $33.79 Mau 2 PROT8 :400E- -1 'c - ED NEW YORK, 1 ORIBE SIGNAT ORIBE SIGNAT GAS-X SOFTGE SUBTOTAL NYS/NYC 8,875% SALES TAX TOTAL DUE DEBIT CARD NO, EXP DATE : **/** ITEM # : DTR9 AUTH NO. : 194927 TRANS TYPE: PURCHASE ENTRY SNIPED TERM ID : 33665103 17.00 19.00 9,99 45,99 3,20 49.19 49.19 PIN VERIFIED NO SIGNATURE REQUIRED 12/14/15 17:55 BH 02221424 03 '-"cORIGINAL CONDITION P )2 PROT9 1""th*1 0 4,."S /AlYC .Utr far 4i - C7t. 91-14L DUE .875,t s T 4(Es To NO. - 49, 49•) CREDIT RECEIPT HACK #: 00455498 MED #: 1G74 12/04/15 12: 02-12:20 RATE #: 1 STAND. CITY RATE Miles R1: 1.79 TRIP 077 12/ FARE #: : $12.150 ST . SUR: $0.50 IMP. SUR: $0.30 TIPS $2.66 Total : $15 U I SA ***ail AUTHOR.: 102138 Contact TLC DIAL 3-1-1 "4/ &ND AIn "_ - YOu in: PROT10 Customer Copy Crema Cafe Creme Cafe Current Batch 12052015 Sat 12/5/2015 12:55:38 PM Check 444 Tab CARINA Reg 2 Cardholder acknowledges receipt of goo and/or services in the amount of the TOTAL shown hereon and agrees to perform the obligations set forth in the Cardholder' agreement with the Issuer VISA [REDACTED]) Approval 175558 BASE $73.94 PROT11 Waegireem.s. I 2617 0042 12/10/2015 1:43 PM 814 FS RX 0524507 30.00 PSC SA 30.00 30. VINGS 557.99 00 .00 TOTAL DEBIT CARD CHANGE TOTAL FSA I S 0.00 TOTAL RX ITEMS 30.00 TOTAL FSA AND RX ITEMS 30.00 Rnkirr, PROT12 C VIS: SUMMARY Life Stops Ob/Gyn Healthcare Fo New *Olt NY MOM POWs NEW YORK NY 10065 Data Ctalun-UmProyks. tv tget5-fruTi--i.e OW OKIZROte et cry umb A ritrIfi I Pr.! Oro 120 :Pied Nutt PAY PROT13