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documents/medical/eye/jiang_eye_exam_receipt2_12-2025.md
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documents/medical/eye/jiang_eye_exam_receipt2_12-2025.md
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---
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type: receipt
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category: eye
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person: Xuewei Jiang
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date: 2025-12-29
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provider: Del Rey Optometry
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source: jiang_eye_exam_receipt2_12-2025.HEIC
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---
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# Credit Card Receipt — Xuewei Jiang — 12/29/2025
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## Store Information
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- **Store:** T010 Del Rey Optometry
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- **Address:** 4266 Lincoln Boulevard, Marina del Rey, CA 90292
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- **Phone:** (310) 823-4595
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- **Date/Time:** 2025-12-29 10:09 AM
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## Transaction Details
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| Field | Value |
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|-------|-------|
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| Account # | ************7357 |
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| Card Brand | VISA |
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| Type | SALE |
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| Entry | SWIPE |
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| Approval code | 603071 |
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| MID | MUtka9mjqXbXZbGHJQpbTCXv |
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| TID | TRjfWamaJ2wgk8RgDCzzxMkV |
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| DID | DV6MauJjs1BEXPzmaPoZYDa |
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## Result
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**SUCCEEDED**
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ARQC
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## Amount
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| | |
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|---|---|
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| AMOUNT | $30.00 |
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| =TOTAL | $30.00 |
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> I agree to pay the above total amount according to the card issuer agreement
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*Thank You — Cardholder Copy*
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