Advance Spine Care and Pain Management
2555 E. Colorado Blvd. #306
Pasadena, CA 91107
Website: | www.kevinlimd.com |
Billing Info: | (800) 736 – 0555 |
Scheduling Info: | (626) 538 – 8950 |
Purchase Approved
August 10th, 2015 3:23 pm
Order #: 14395645456
Amount $10.00
X ____________________________________________________________________
John Smith (Cardholder Name)
The cardholder acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth in the cardholder’s agreement with the issuer.
___________________________________________________________________________________________________________________________________________
Transaction Details:
Transaction ID: 211324234323
Approval Code: 054564G
Card Number: **** **** 4343
Card Type: Visa
AVS Response: Y
CVV2 Response: M
Response: Approved
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