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CPC Purchase With Tip@Terminal Transaction – Exchange Rate Accepted and
Signature Required
MERCHANT COPY
XYZ MERCHANT
890 PARK ST
MELBOURNE 3000
TERMINAL ID
00013005007
Visa® CR
0014
PUR
AUD $35.00
TIP
AUD $3.50
TRANSACTION CURRENCY
USD
EXCH. RATE
0.7792
TOTAL USD 30.00
---------------------------------------------
SIGNATURE
APPROVED
AUTH: 702456
STAN: 005465
20/02/12 11:29
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
00013005007
Visa® CR
0014
PUR
AUD $35.00
TIP
AUD $3.50
TRANSACTION CURRENCY
USD
EXCH. RATE
0.7792
TOTAL USD 30.00
APPROVED
AUTH: 702456
STAN: 005465
20/02/12 11:29
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