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Question Your Answer
QC2. Did the name of the Cashier match the Cashier
name that was on the receipt?
• Yes
QC3. Please confirm that you purchased at least
three items.
• Yes, I confirm I purchased at least three items.
How many total items did you purchase? (Please
input a number) - 6
Project Information
Date: 12/11/2018
Project Number: 7129220
Address: Safeway
2940 W Valencia Rd
Tucson, AZ 85746
Time In: 7:12 PM
Time Out: 7:52 PM
Payment Information
Project Payments $5.00
Purchase Reimbursement $9.00
Pre-Authorized Distance Pay $0.00
Other $0.00
Total $14.00
