Page 1 of 1 RECEIPT DULLES GLASS AND MIRROR 9151 EUCLID AVENUE Mannassas VA 20110 Phone Transaction Type : Sale Authorization Code : 202880 AVS Result : 'latch. Street address and 5-digit postal code match. Total : 4282.58 USD Cardholder Information Name Credit Card Type : rk - 1'1 r ..• Credit Card Number : r r • ••• r:20 Level II Fields Tax Exempt : NO 10/15/2012 https://ebe.cybersource.com/ebc/virtualterminal/PrintSingleReceiptLoad.do 10/15/2012 EFTA_R1_01218105 EFTA02316960