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Cm OF SB SPECIAL EVE <br />731 S LAFAYETTE BLVD <br />SOUTH BEND, IN 46601 11'21.11 <br />MID' XXXXkIIXX%XX401 <br />06.08XU TIC. XxW800 <br />DEBIT CARD <br />DEBIT SALE <br />Card a X WW6743 <br />Network MASTERCARD <br />Cho Card, DEBIT <br />AID, A0000000042203 <br />0056 <br />ATC. 566AFF4421196034 <br />ARQC I <br />SEQ >+ 12 <br />INVOICE B26LW7 <br />Approval Code. Cho Read <br />Entry wood. <br />Mode Iswer P1N Vaifkd <br />SALE AMOUNT 01 <br />Sig Ue Not Regaled <br />SARAH J HOOVER <br />MERCHANT COPY <br />