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Free Food City Receipt Generator

This receipt is issued by Food City and identifies the store as Food City #21, 1162 E. Florence Boulevard, Casa Grande, Arizona 85122. The header contains the store name, address, contact telephone number, and store information. The receipt records the purchase of two Menudo Rojo items. The financial section records the balance due, while the payment section confirms settlement using a US Debit card with EMV chip technology and includes a $20.00 cashback transaction. The receipt also contains the masked card number, authorization code, reference number, transaction date and time, EMV transaction identifiers, purchase amount, cashback amount, and final total. The overall layout is representative of a United States supermarket POS receipt, combining grocery itemization, electronic payment processing, cashback, and transaction reconciliation within a compact retail receipt format.

Food City #21
1162 E. Florence
Blvd.
Casa Grande, Arizona
85122
Store Director
520-836-8841
 
7.49 T
MENUDO ROJO
MENUDO ROJO
7.49 T
 
16.28
BALANCE DUE
[ ]
**************7479
Auth# 882265
Ref# 244513
 
14:41:53
06/03/2023
US DEBIT
Entry Method: Chip
CARD #:
XXXXXXXXXXXX7479
PURCHASE
-APPROVED
AUTH CODE: 882265
 
Issuer
 
Mode:
AID:
A0000000980840
TVR:
8000048000
IAD:
06011203A03000
TSI:
6800
ARC:
00
TC:
AF46E539BDFA6AA7
MID: 228794
TID: 001 SEQ: 244513
 
$16.28
Purchase:
Cashback:
$20.00
--------
Total:
USD$ 36.28
Total

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