ATM Receipt ATM Receipt -------------------------------------- -------------------------------------- Location: Terminal #: Location: Terminal #: Date: Time: Card #: Authorization #: Card Holder: Date: Time: Card #: Authorization #: Card Holder: Withdrawn From: Amount Requested: Amount Dispensed: ATM Fee: Account Balance: Withdrawn From: Amount Requested: Amount Dispensed: ATM Fee: Account Balance: ------------------------------------------ ------------------------------------------ Thank you for banking with us! Thank you for banking with us! Visit Us Online or Call Our Customer Service Line Visit Us Online or Call Our Customer Service Line ---------------------- ---------------------- www.PrintableCashReceipts.com www.PrintableCashReceipts.com