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Employee Name:Employee ID:
Invoice Number:Business or Contractor Name:
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  • Service Fee:

  • Payment Amount:  

    Total w/Service Fee:

  • Service Fee Details
  •     Card Present
  •     Fee: $3.00
  •     Total: $103.00
  •     Card Not Present
  •     Fee: $4.00
  •     Total: $104.00

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