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Moonlight Diner <br />Restaurant * <br />Date: Aug18'03 01:27PM <br />Card* Type: Visa/M.C. <br />Acct #: XXXXXXXX-XXXX4380 <br />Exp Date: 04/06 <br />Auth Code; 018384 <br />Check: 1391 <br />Table; 25/4 <br />Server: 704 Sandy <br />CHRISTOPHER W MOORE <br />Subtotal: <br />9 6 4 <br />T i p <br />Total : ---------- <br />Signature <br />I agree to pay above total <br />according to my card issuer <br />agreement. <br />Customer Copy <br />w A C <br />(I CnfjA- <br />/J,b S CPT e, t -A0 <br />bpv�, Cf <br />