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    CVS Pharmacy - Receipt Request Template

    Uploaded by

    Roselle Malabanan
    Brooke Outler purchased feminine hygiene products, pain relief medication, hand soap, and eye drops from CVS Pharmacy on April 3, 2020 using a credit card ending in 8181. The receipt details the items, prices, and total cost of $37.69 which included taxes, fees, and a $5.65 tip for delivery.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CVS Pharmacy - Receipt Request Template

    Uploaded by

    Roselle Malabanan
    639 views1 page
    Brooke Outler purchased feminine hygiene products, pain relief medication, hand soap, and eye drops from CVS Pharmacy on April 3, 2020 using a credit card ending in 8181. The receipt details the items, prices, and total cost of $37.69 which included taxes, fees, and a $5.65 tip for delivery.

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    © © All Rights Reserved

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    Brooke Outler purchased feminine hygiene products, pain relief medication, hand soap, and eye drops from CVS Pharmacy on April 3, 2020 using a credit card ending in 8181. The receipt details the items, prices, and total cost of $37.69 which included taxes, fees, and a $5.65 tip for delivery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    639 views1 page

    CVS Pharmacy - Receipt Request Template

    Uploaded by

    Roselle Malabanan
    Brooke Outler purchased feminine hygiene products, pain relief medication, hand soap, and eye drops from CVS Pharmacy on April 3, 2020 using a credit card ending in 8181. The receipt details the items, prices, and total cost of $37.69 which included taxes, fees, and a $5.65 tip for delivery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Itemized Receipt

    Location: CVS Pharmacy Date: 04/03/2020


    Customer Name: Brooke Outler Last 4 of Card: 8181

    Qty Items Special Notes Item Price


    1 Kotex Clean Wear Heavy Flow Pads $5.49
    3 CVS Pear & White Tea Antibacterial
    $1.95Foaming
    each Hand Soap $5.85
    1 CVS Migraine Relief Caplets $4.79
    1 Clear Eyes Itchy Eye Relief Drops $4.19
    1 Tampax Pearl Ultra Tampons, 36ct $8.79

    Subtotal: $29.11
    Tax: $2.04
    Service Fee: $0.00
    Small Cart Fee: $6.54
    Delivery Fee: $9.99
    Merchant Fee: $0.00
    Tip: $5.65
    Discounts: -$9.99
    Total Cost: $37.69
    Pre-Auth: $41.46

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