EFTA00309955

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Recei t Confirmation #: Passenger Name: Date & Time Of Service: ec Car Type: Camry WiFi / Similar Passengers/Luggage: 3 / 3 Pick Up: Extra Stops: Destination: LGA B6 Form of Payment: Amex """""'"""'3001 Exp: 08/16 Fare Breakdown: Base Fare: Gratuity: NYS-Fund Tax: 44.00 8.80 1.32 Account Requirements: Total Charge: 54.12 Dec 21, 2015 12:38 PM Page # 1 EFTA00309955

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