Appendix A
Receipt
NOTE: This document is CONFIDENTIAL and must be used exclusively for the operation of PAX programs. It may not be
duplicated, published, or disclosed without prior written permission from PAX.
.
214
[TIP 3]:
$________,__
Amount of tip 3, if enabled. Tip name should be printed to replace “Tip 3”. In Restaurant
industry, When In Tip Menu is selected or In Transaction is bypassed, it will display
“$______.__” for the cardholder to write tip amount. When Auto Percent is selected, it will
display high amount percent , low amount and “$______,__”
Total:
$________,__
Total amount of the above tip and amount. In Restaurant industry, When In Tip Menu and
Auto Percent is selected or In Transaction is bypassed, it will display “$______.__” for the
cardholder to write total amount.
Ref. Number
88888888
Reference Number (do not print if null)
Auth. Code:
000000
Approval Code. If no auth code, the value will be null.
AVS Response:
0
Available for Sale, Return and Auth transaction.
AVS Code
Message:
AVS
Print the AVS code message from the host
CVD Response:
P
Available for Sale, Return and Auth transaction.
CVD Message
CVD
Print the CVD message from the host
Response:
APPROVED OFFLINE
Print “APPROVED OFFLINE” in demo mode
Detailed Information
Print the detailed information from the host
Merchant Receipt Data
Print the merchant receipt data from the host
APP DUPE!
Print this line if it is a duplicated transaction.
I AGREE TO PAY ABOVE TOTAL
Disclaimer [Operation Settings - Disclaimer]
AMOUNT ACCORDING TO CARD ISSUER
AGREEMENT (MERCHANT AGREEMENT
IF CREDIT VOUCHER)
X.....................
Signature Line
SIGNATURE
Print “SIGNATURE” in Manual Entry, Print Cardholder name in Swiped Entry
IMPRINT CARD
Only print this line in manual entry and card is present
MERCHANT COPY
Trailer Line #1
Editable. [Merchant Settings – Edit Trailer – Trailer Text 1]
Trailer Line #2
Editable. [Merchant Settings – Edit Trailer – Trailer Text 2]
Trailer Line #3
Editable. [Merchant Settings – Edit Trailer – Trailer Text 3]
Trailer Line #4
Editable. [Merchant Settings – Edit Trailer – Trailer Text 4]
Trailer Line #5
Editable. [Merchant Settings – Edit Trailer – Trailer Text 5]
...................................
Halving Line
...................................
Halving Line
Header Line #1
Editable. [Merchant Settings –Edit Header – Header Text 1]
Header Line #2
Editable. [Merchant Settings –Edit Header – Header Text 2]
Header Line #3
Editable. [Merchant Settings –Edit Header – Header Text 3]