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2026-04-05 15:37:59 -07:00
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documents/medical/eye/lu_eye_exam_receipt2_12-2025.md Normal file
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---
type: receipt
category: eye
person: Yanxin Lu
date: 2025-12-29
provider: Del Rey Optometry
source: lu_eye_exam_receipt2_12-2025.HEIC
---
# Credit Card Receipt — Yanxin Lu — 12/29/2025
## Store Information
- **Store:** T010 Del Rey Optometry
- **Address:** 4266 Lincoln Boulevard, Marina del Rey, CA 90292
- **Phone:** (310) 823-4595
- **Date/Time:** 2025 12 29 10:08 AM
## Transaction Details
| Field | Value |
|-------|-------|
| Card Type | MASTERCARD |
| AID | A0000000041010 |
| Account # | ************4800 |
| Card Brand | MASTERCARD |
| Type | SALE |
| Entry | CONTACTLESS |
| Approval code | 07156P |
| MID | MUtka9mjqXbXZbGHJQpbTCXv |
| TID | TRbsoccxm8E1pv81U7CyibD |
| DID | DV6MauJjs1BEXPzmaPoZYDa |
## Result
**SUCCEEDED**
ARQC FC15B86E8424104A
## Amount
| | |
|---|---|
| AMOUNT | $10.00 |
| =TOTAL | $10.00 |
> I agree to pay the above total amount according to the card issuer agreement
*Thank You — Cardholder Copy*