883 B
883 B
type, category, person, date, provider, source
| type | category | person | date | provider | source |
|---|---|---|---|---|---|
| receipt | eye | Xuewei Jiang | 2025-12-29 | Del Rey Optometry | 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