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10121 EVERGREEN WAY PIZZA HUT 2021-11-02
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10121 EVERGREEN WAY PIZZA HUT 2021-11-02
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Last modified
11/2/2021 4:21:42 PM
Creation date
11/2/2021 4:15:59 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
10121
Tenant Name
PIZZA HUT
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• <br /> Receipt Number 274178 <br /> Payment Date: 11/04/2019, <br /> Received From <br /> Account Number Description Amount <br /> 002000000003219000000::2019 PRORATED GBL — 41.50 <br /> DIAMOND CONSTRUCTION 55196 <br /> Total Due: $41.50 <br /> RRI 28265 <br /> Paid by: Credit Card $41.50 <br /> Total Paid: $41.50 <br /> Change: $0.00 <br /> • <br /> • <br /> • <br /> 04 CLERK TREASURER S <br /> 2930 WETMORE AVE STE 1A <br /> EVERETT, WA. 98201-406T <br /> 42S-257-8614 <br /> Phone Order <br /> • *ouoncxxxxxx40 <br /> VISA Entry Method: Manual <br /> 04 CLERK TREASURER <br /> • <br /> EEVVERETTTMORE IiA. 90201-44067 Total: $ 0.95 <br /> 42S-257-8614 <br /> 11/0449 13:51:09 <br /> Phone Order Inv IE: 0W001 APor Code: 014816 <br /> xxxxxxxxxxxxTT40 • A�rvd: Online <br /> VISA Entry Method: Manual AVS Code: EXAC MATCH Y <br /> CVV2 Code: MATCH M <br /> Total:: $ 41-5{0 The above Service Fee charge <br /> 10:51:1T is for the convenience of this <br /> 11/.d/19 Payment method and is a <br /> 1/ ,i�3 n 1�f� separate transaction Payable <br /> Inv It tl?r.!l A Ar Code: 09542G in addition to the amount due. <br /> Your signature indicates <br /> f acceptance of this Service Fee <br /> nwi vpd: Online and Your Payment to the card <br /> AIR+10de: EVM Hh�H V issuer according to their <br /> Y� LAIRr i5 Payment terms. <br /> C1IV2 Cole: INCH M <br /> I agree to pay above total amount --- <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> Merchant Cop? <br /> TAN YOU! <br /> Merchant Copy <br /> THANK YOU! <br />
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