Confidential
Page 20
6/4/2008
Settlement Receipt
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MERCHANT NAME
MERCHANT ADDRESS 1
MERCHANT ADDRESS 2
TERMINAL ID xxxxxxxx
Terminal ID of terminal
SEQUENCE NO 999999
STAN
PRE SETTLEMENT AS AT
DD/MM/YY HH:MM 999999
PRE SETTLEMENT SUMMARY
CREDIT CARD
Purch nnn $$$$$$$.cc
Ref
nnn $$$$$$$.cc
nnn $$$$$$$.cc
DEBIT CARD (chq/sav)
Purch nnn $$$$$$$.cc
Ref
nnn $$$$$$$.cc
Cash
nnn $$$$$$$.cc
nnn $$$$$$$.cc
TOTALS
Purch nnn $$$$$$$.cc
Ref
nnn $$$$$$$.cc
Cash
nnn $$$$$$$.cc
nnn $$$$$$$.cc
Not For Value Totals
CREDIT CARD
Auth nnn $$$$$$$.cc
DINERS
Purch nnn $$$$$$$.cc
Ref nnn $$$$$$$.cc
AMEX
Purch nnn $$$$$$$.cc
Ref nnn $$$$$$$.cc
JCB
Purch nnn $$$$$$$.cc
Ref nnn $$$$$$$.cc
GREETING TEXT 1
GREETING TEXT 2
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