EBT Cash Benefit Balance Inquiry Receipt Sample
DEMO
CASH BENEFIT
INQUIRY
DBA Name
DBA Street Address
DBA City, State, Zip
DBA Phone Number
Optional Header Line
Optional Header Line
TID: nnnnnnnn
DATE: mm/dd/yy
MID: nnnnnnnnnnnnnnn
EBAL/SWIPED
CT XXXXXXXXXXXXXXXX EXP:XXXX
EMP ID: XXX
APPROVAL CODE: nnnnnn
RECEIPT NUMBER: nnnn
AMOUNT
$
TIP
$
TOTAL
$
DEMONSTRATION ONLY
THANK YOU
PLEASE COME AGAIN
TOP COPY-MERCHANT
BOTTOM COPY-CUSTOMER
© 2003 LinkPoint International, Inc.
This information is Proprietary and Confidential to LinkPoint International - Reproduction without the
expressed, written consent of LinkPoint International is prohibited.
Prints if initiated in demo mode (bold and centered)
Transaction type (bold and centered)
Blank line
H1 DBA Name (bold and centered)
H2 DBA Street Address (bold and centered)
H3 DBA City, State, ZIP (bold and centered)
H4 DBA Phone Number (bold and centered)
H5 Optional Header Line (0-28 characters bold and centered)
H6 Optional Header Line (0-28 characters bold and centered)
Terminal ID (centered)
Blank line
TIME: hh:mm
Transaction date and time
Merchant ID
Blank line
Trans. type, entry method
Card type, card number, expiration date
Employee ID (if entered by user)
Approval code
Receipt number
Blank line
nnn.nn
Amount line (bold)
nn.nn
Tip line (bold)
nnn.nn
Total line (bold)
Blank line
If in demo mode (bold, centered)
Blank line
T1 - Trailer line 1 (centered)
T2 - Trailer line 2 (centered)
Receipt distribution (one copy line omitted for either merchant or
customer copy)
153
L4CGS33 Reference Manual
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