Apple Store, Fifth Avenue
767 Fifth Avenue
New York. NY 10153
212.336.1440
DCA License a1226523 & 1226517
December B, 2011 12:00 PM
iPhone 4 Bumpers Green ($ 29.00)
Part Number: MC67126%43
iPhone 4 Bumpers Pink ($ 29.00)
Pall Number: MC669Zfv1/B
Sub•Total 58.00)
Tax.&875% (S 5.15)
Total ($ 63.15)
Amount Refunded Via AmEx (A) ($ 6315)
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