@{Center}{{Header}} @{Center}{{TransactionDateTime}} @{Center}{{ApplicationLabel}} @{Center}{{ApplicationIdentifier}} @{Label}Merchant ID@{Right}{{MerchantId}} @{Label}Terminal ID@{Right}{{TerminalId}} @{Label}Ref#@{Right}{{ReferenceNumber}} @{Label}Account#@{Right}{{AccountNumber}} @{Label}Card@{Right}{{CardLogo}} @{Label}Entry@{Right}{{EntryMode}} @{Label}Transaction ID@{Right}{{TransactionId}} @{Label}Approval Code@{Right}{{ApprovalNumber}} @{Label}Response Code@{Right}{{HostResponseCode}} @{Label}Odometer@{Right}{{Odometer}} @{Label}Vehicle Id@{Right}{{VehicleId}} @{Label}User Id@{Right}{{UserId}} @{Label}Job Number@{Right}{{JobNumber}} @{Label}Driver Id@{Right}{{DriverId}} @{Label}Employee Number@{Right}{{EmployeeNumber}} @{Label}Trailer Number@{Right}{{TrailerNumber}} @{Label}Additional Prompted Data1@{Right}{{AdditionalPromptedData1}} @{Label}Additional Prompted Data2@{Right}{{AdditionalPromptedData2}} @{Center}{{IsApproved}} @{Center}{{Cryptogram}} @{Label}{{ReceiptType}}@{Right}@{CurrencyCode}{{SubTotalAmount}} @{Label}Cashback@{Right}@{CurrencyCode}{{CashbackAmount}} @{Label}Tip@{Right}@{CurrencyCode}{{TipAmount}} @{Label}Surcharge Amount@{Right}@{CurrencyCode}{{SurchargeAmount}} ______________________ @{Label}Total@{Right}@{CurrencyCode}{{TotalAmount}} X _________________________________________ @{Center}{{PinVerified}} @{Center}{{CardHolderName}} {{Tags}} I agree to pay the above total amount acc-ording to the card issuer agreement @{Center}{{Footer}} @{Center}{{CopyType}}