131 56 20421 17374 yen 95 1Ø1E8 total Ina ko roved SIGNARME x I agree to Day the above total NICUlt 0000•31132 to the card 1841ir agreement Calronfilt agreement If Credit voids) 2532.% CUSTOMER COPY IMPORTANT: retain this copy for yotl• records CASHIER ID: 10%8572 Date Tires Store RED blat