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911DrivingSchoolofMt.PleasantandGooseCreek
2700NHwy17ste150,Mt.Pleasant,SC29466
(843)8845552|Fax:|
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StudentInformation
Student: Kan,Sharmaine Contact: Home:
Address: 34HStreetAPTA Cell:(907)2292628
City,StateZip: Charleston,SC24903
BillingInformation
CardHolderName: MINGJOHNKKAN CardType: Visa
BillingAddress: 34HStreetAPTA CardNumber: xxxxxxxxxxxx0294
BillingCity,StateZip: Charleston,SC24903 ExpiryDate: 05/2019
PackageInformation
PackageName: TeenDrivingBasicMtPleasant StartDate: 18Mar,2017
Price: $459.00 EndDate: 18Mar,2017
AmountPaid: $459.00 StartTime: 8:30AM
StudentBalance: $0.00 EndTime: 5:00PM
Location: MtPleasant
CR#: 18MarDEMP
March14,2017,8:26PM
https://myeform3.net/SC911DrivingSchool/Admin/Reports/ReceiptReportTeen.aspx?StudentID=5782 1/1