Receipt Passenger Name: Date & Time Of Service: Car Type: Passengers/Luggage: Pick Up: Destination: TEB RP n212je Form of Payment: Amex seeweweeee*3001 Exp: 08/16 Fare Breakdown: Base Fare: 68.00 Toll: 21.50 Gratuity: 13.60 NYS-Fund Tax: 2.58 Account Requirements: Total Charge: 105.68 Dec 16, 2U 130 PF Camry WiFi / Similar 1/1 Dec 21, 2015 12:42 PM Page# 1 EFTA00309959