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Free Kansas Driver's License Receipt Generator

This receipt documents a payment made at the Kansas Department of Revenue Driver Licensing office located on Centennial Road, Salina, Kansas. The receipt includes the order number, terminal identification, agency subtotal, a LexisNexis service fee, and the final amount paid. The payment section confirms that the transaction was completed using a Visa Debit card via EMV chip with PIN verification, and includes the authorization code, application label, AID, and other EMV transaction details. The receipt concludes by confirming that the card transaction was approved, that no signature was required, and identifies the document as the Agency Copy. The overall layout is representative of a United States government agency payment receipt, combining service charges, payment authorization, and transaction reconciliation in a compact receipt format.

03-05-2025
03:25 PM CST
 
KDOR DL SALINA
2941 CENTENNIAL RD
SALINA, KS 67401
 
TERMINAL NAME:
E6552902
 
ORDER# 197405094
 
 
PAYMENT
 
 
DL COUNTER
$26.00
2430844
Total
 
AGENCY SUBTOTAL:
$26.00
LEXISNEXIS SERVICE
FEE: $0.75
 
TOTAL USD: $26.75
-------------------------------------
 
 
CARD #: 2443
VISA
PAYMENT: DEBIT
CHIP READ-CONTACT
MODE
ISSUER
AUTH CODE
465688
APP LABEL
US DEBIT
CVM
PIN VERIFIED
AID
A0000000980840
ARQC
0E0924A6FC623840
AMOUNT
$26.75
Total
 
*** CARD APPROVED
***
-------------------------------------
 
********************************
AMOUNT PAID:
$26.75
********************************
 
 
SIGNATURE NOT
REQUIRED
 
AGENCY COPY

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