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PREMIUM GAS & FUEL STATION Receipt

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PREMIUM GAS & FUEL STATION

742 ASPEN WAY DENVER, CO 80202 (303) 555-0199 STORE #88241

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Receipt #: SEQ #448129

4/29/2026 7:55:25 PM

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PUMP #08

PRODUCTUNLEADED REG (87)

GALLONS14.520

PRICE/G$3.86

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FUEL SALE (PUMP 8)

$56.03

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Subtotal

$56.03

Total

$56.03

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Paid with:Card

Card Type:Visa

Account:************5512

Auth Code:04128X

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THANK YOU FOR STOPPING BY! SAVE 10¢ PER GALLON WITH OUR MOBILE APP. STAY SAFE ON THE ROAD!

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PREMIUM GAS & FUEL STATION Receipt

settings

header

Date & Time

Two Column Info

Items List

totals

payment

Custom Message

barcode

PREMIUM GAS & FUEL STATION Receipt