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Free Bristol Farms Receipt Generator

This receipt is issued by Bristol Farms and identifies the store as 9039 Beverly Boulevard, West Hollywood, California 90048. The header contains the Bristol Farms branding, store address, and contact telephone number. The receipt records the purchase of several grocery products, including Norwegian Salmon, Mini Croissants, South African Rosé, Chocolate Croissants, Almond Milk, Horizon Whole Organic Milk, Vanilla multipacks, and shopping bags. The financial section records a final balance of $132.65. The payment section confirms settlement using a Mastercard and contains the masked account number, transaction type, card application information, and payment reference details. The footer thanks the customer for shopping at Bristol Farms and promotes the store's delivery service and website. The overall layout is representative of a United States supermarket POS receipt, combining grocery itemization, electronic card payment processing, and transaction information within a compact retail receipt format.

9039 Beverly Blvd.
West Hollywood, CA
90048
310-248-2804
 
 
SALMON NORWEGIAN S
17.99 F
6CT MINI CROISSANT
10.50 F
3 @ 9.99
SUNDAY BACON 8OZ
29.97 F
2 @ 4.00
CHOCOLATE CROISSAN
8.00 F
MALK SWT VAN ALMON
7.99 F
CRV SINGLE > = 24
0.10 F
6 @ 4.99
VITAL FRM PASTR RS
29.94 F
2 @ 6.59
HORIZON WHOLE ORG
13.18 F
2 @ 6.99
NOOSA VANILLA 4PK
13.98 F
6 @ 0.15
BAGS
0.90
TAX
0.00
*************************************
 
Bristol Farms
9039 Beverly Blvd.
West Hollywood, CA
90048
MasterCard
Card Number:
***********6430
TYPE: Purchase
 
REFERENCE: H
ACCT: MASTERCARD
132.55
 
06/13/26 08:03am 57
4 10 66685
AID: A0000000041010
TVR: 0000000800
TSI: A800
TRANSACTION ISSUER
DATA: 0114A14003020
APPLICATION
CRYPTOGRAM:
946F3403D6322A
CVM: 011002
POS Entry Mode: 07
Host Return Code 000
 
MasterCard
$132.55
CHANGE
$0.00
 
 
TOTAL NUMBER OF ITEMS
SOLD = 25
06/13/26 08:03am 14
57 66685
 
39901004005726061380
3
 
Your cashier: Rachel
C
 
Thank you for
visiting us!
Sign up for special
offers,
events and more at
bristolfarms.com
 
-------------------------------------
 
>>>>>>>>>>>>>>>>>>>>
Deliciousness
Delivered
>>>>>>>>>>>>>>>>>>>>
bristolfarms.com/shop

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