From: CARosa Limo To: Lesley Groff Lvjet <1.a> Subject: Fwd: CAROSA - Transaction Receipt for $216.00 Date: Mon, 02 Oct 2017 18:45:34 +0000 Attachments: 59D283AC9F1090EB6CA6074277740DDFA8755427-sig.png Thanks for your business!! Teresa Goodyear CARosa Limo LLC. (Teterboro Ai rt Phone: (Chris/Gabe) 24hrs/7days Forwarded message ----- From: <[email protected]> Date: Mon, Oct 2, 2017 at 2:32 PM Sub'ect: CAROSA - Transaction Receipt for $216.00 To: Term ID: 001 Sale -Approved Date: 10/02/17 Card Type: American Express Entry Method: Manual Card #: XXXXXXXXXXX1013 Time: 14:21:31 Time Zone: EDT Invoice #: 000571 Approval Code: 194094 Customer Ref: 10/1 Tail #N212JE NYC/TEB Elena Item Qty Amount Total Amount Base Amount Tip Amount $216.00 $180.00 $36.00 EFTA00460373

I agree to pay the above total amount according to the card issuer agreement. (Merchant agreement if credit voucher) Cardholder Signature Map of purchase location Customer Copy EFTA00460374