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Receipt for payment received 01/20/2026
- Subject: Receipt for payment received 01/20/2026
- From: http://www.gmail.com/~drtakeuchidds
- Date: Tue, 20 Jan 2026 20:25:10 +0200
Doug Takeuchi DDS
189 N Bascom Ave Ste. 110
where-I-live 95128-1869
(408)295-5651
Date...........01/20/2026 10:24:23 AM
Trans Type.....CreditSale
Transaction ID.000000001403
Account........************
Card Type......MASTERCARD
Approval Code..692323
Result.........Amount: 24.50
Transaction ID: 000000001402
Response: Decline: TRY LATER
Processed: 01/20/2026 10:23 AM
Total Amt......$24.50
I agree to pay the above total amount
according to my card issuer/bank
agreement.
Electronically signed