RALPH LAUREN 888 Madison Avenue New York, NY 10021 34-8000 Customer: Karyna Shuliak 17156 Item Qty Price Amount SWEATER 190866741015 1 398.00 Subtotal 398.00 Tax 35.32 Total: 433.32 American Express uUsD 433.32 Auth #: 8533 Transaction SALE Entry Method: CHIP READ Auth Time: 6:36 PM Trace Number: 899071 MID : 3119360880 APPROVAL RRN : 000000899071 AID : A000000025010801 VR : 0000008000 IAD : 06B60103A02002 TSI : FOO ARC : 00 APPLICATION : AMERICAN EXPRESS MODE : ISSUER Change 0.00 SOLD ITEM COUNT = 1 TOY 4C16X3X44QGH3 EFTA00521214

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ANTIQ VINTAGE Merchandise IS FINAL SALE Customer Copy EFTA00521215