{{TransactionDateTime}}

{{ApplicationLabel}} {{ApplicationPreferredName}}
{{ApplicationIdentifier}}

Merchant ID {{MerchantId}}
Terminal ID {{TerminalId}}

Reference# {{ReferenceNumber}}
Account# {{AccountNumber}}
Card {{CardLogo}}
Entry {{EntryMode}}

Transaction ID {{TransactionId}}
Approval Code {{ApprovalNumber}}
Response Code {{HostResponseCode}}

Odometer {{Odometer}}
Vehicle Id {{VehicleId}}
User Id {{UserId}}
Job Number {{JobNumber}}
Driver Id {{DriverId}}
Employee Number {{EmployeeNumber}}
Trailer Number {{Trailer Number}}
Additional Prompted Data1 {{AdditionalPromptedData1}}
Additional Prompted Data2 {{AdditionalPromptedData2}}

{{IsApproved}}
{{Cryptogram}}

{{ReceiptType}} {{CurrencyCode}}{{SubTotalAmount}}
Cashback {{CurrencyCode}}{{CashbackAmount}}
Tip {{CurrencyCode}}{{TipAmount}}
 
Total {{CurrencyCode}}{{TotalAmount}}

X

{{PinVerified}}

{{CardHolderName}}

{{Tags}}
I agree to pay the above total amount according to the card issuer agreement

{{CopyType}}