---
type: receipt
category: medical
person: Xuewei Jiang
date: 2025-12-29
provider: Del Rey Optometry
source: jiang_eye_exam_receipt2_12_2025.HEIC
---

# Credit Card Receipt — Xuewei Jiang — 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 10:09 AM

## Transaction Details

| Field | Value |
|-------|-------|
| Account # | ************7357 |
| Card Brand | VISA |
| Type | SALE |
| Entry | SWIPE |
| Approval code | 603071 |
| MID | MUtka9mjqXbXZbGHJQpbTCXv |
| TID | TRjfWamaJ2wgk8RgDCzzxMkV |
| DID | DV6MauJjs1BEXPzmaPoZYDa |

## Result

**SUCCEEDED**
ARQC

## Amount

| | |
|---|---|
| AMOUNT | $30.00 |
| =TOTAL | $30.00 |

> I agree to pay the above total amount according to the card issuer agreement

*Thank You — Cardholder Copy*