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COSTCO WHOLESALE Warehouse #1234 1000 Sample Parkway Springfield, IL 62704 (217) 555-0142
Member: 1112 2233 3444 Date: 03/14/2027 Time: 11:42 Register: 06 Trans: 4471
1
1234567 KS PAPER TOWEL 12CT
23.99$
1
2345678 KS BOTTLED WATER 40PK
4.49$
1
3456789 ORGANIC BANANAS 3LB
1.99$
1
4567890 ROTISSERIE CHICKEN
4.99$
1
5678901 KS AA BATTERIES 48CT
19.99$
Subtotal
55.45
Tax
3.52
Total
58.97
Card
VISA **** 4821
Entry
Chip
Auth #
012345
Status
APPROVED
Thank you for shopping at Costco. Please keep this receipt for your records.

Costco Receipt

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