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Name: Mr. Andy Hughes
Company: Nevada Casino Chips
City, State Zip: Henderson, NV 89074
Country: US
Credit Card Number: 0379
Expiration Date: 9 / 2002
Amount: $100.00
Donation Fund: Disaster Relief Fund
Trans. Date/Time: 20010914095233.000
Authorization Code: 055952
Ref. Code. #: 055952
Order ID#: 6208756368
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