@{Center}{{Header}}
@{Center}{{TransactionDateTime}}
@{Center}{{ApplicationLabel}}
@{Center}{{ApplicationIdentifier}}
@{Label}Merchant ID@{Right}{{MerchantId}}
@{Label}Terminal ID@{Right}{{TerminalId}}
@{Label}Ref#@{Right}{{ReferenceNumber}}
@{Label}Account#@{Right}{{AccountNumber}}
@{Label}Card@{Right}{{CardLogo}}
@{Label}Entry@{Right}{{EntryMode}}
@{Label}Transaction ID@{Right}{{TransactionId}}
@{Label}Approval Code@{Right}{{ApprovalNumber}}
@{Label}Response Code@{Right}{{HostResponseCode}}
@{Label}Odometer@{Right}{{Odometer}}
@{Label}Vehicle Id@{Right}{{VehicleId}}
@{Label}User Id@{Right}{{UserId}}
@{Label}Job Number@{Right}{{JobNumber}}
@{Label}Driver Id@{Right}{{DriverId}}
@{Label}Employee Number@{Right}{{EmployeeNumber}}
@{Label}Trailer Number@{Right}{{TrailerNumber}}
@{Label}Additional Prompted Data1@{Right}{{AdditionalPromptedData1}}
@{Label}Additional Prompted Data2@{Right}{{AdditionalPromptedData2}}
@{Center}{{IsApproved}}
@{Center}{{Cryptogram}}
@{Label}{{ReceiptType}}@{Right}@{CurrencyCode}{{SubTotalAmount}}
@{Label}Cashback@{Right}@{CurrencyCode}{{CashbackAmount}}
@{Label}Tip@{Right}@{CurrencyCode}{{TipAmount}}
@{Label}Surcharge Amount@{Right}@{CurrencyCode}{{SurchargeAmount}}
______________________
@{Label}Total@{Right}@{CurrencyCode}{{TotalAmount}}
X
_________________________________________
@{Center}{{PinVerified}}
@{Center}{{CardHolderName}}
{{Tags}}
I agree to pay the above total amount acc-ording to the card issuer agreement
@{Center}{{Footer}}
@{Center}{{CopyType}}