98
CPC Purchase VISA® Transaction Records
MERCHANT COPY
XYZ MERCHANT
890 PARK ST
MELBOURNE 3000
TERMINAL ID
00013009803
VISA CR
8766
PUR
AUD $20.00
TRANSACTION CURRENCY
NZD
EXCH. RATE
1.1193
TOTAL NZD 22.39
---------------------------------------------
SIGNATURE
APPROVED
AUTH: 407884
STAN: 005195
28/02/12 15:22
I HAVE BEEN OFFERED A
CHOICE OF CURRENCIES FOR
PAYMENT, INCLUDING THE
MERCHANT'S LOCAL CURRENCY.
I ACKNOWLEDGE THE CURRENCY
CONVERSION SERVICE IS
CONDUCTED BY ANZ.
EXCH. RATE MARK UP 2.5%
COMMISSION/FEE $0.00
[ ] I AGREE TO THE
INFORMATION ABOVE
CUSTOMER COPY
XYZ MERCHANT
890 PARK ST
MELBOURNE 3000
TERMINAL ID
00013009803
VISA CR
8766
PUR
AUD $20.00
TRANSACTION CURRENCY
NZD
EXCH. RATE
1.1193
TOTAL NZD 22.39
APPROVED
AUTH: 407884
STAN: 005195
28/02/12 15:22
MESSAGE LINE 1
MESSAGE LINE 2
I HAVE BEEN OFFERED A
CHOICE OF CURRENCIES FOR
PAYMENT, INCLUDING THE
MERCHANT'S LOCAL CURRENCY.
I ACKNOWLEDGE THE CURRENCY
CONVERSION SERVICE IS
CONDUCTED BY ANZ.
EXCH. RATE MARK UP 2.5%
COMMISSION/FEE $0.00
[ ] I AGREE TO THE
INFORMATION ABOVE
PLEASE RETAIN FOR YOUR RECORD