`Total RX; 1
`
`Walmart '!~
`Pharmacy
`
`BR 1827
`
`D
`
`--
`
`tf you have any questions, please feel free to contacl your Pharmacist at (919}772-2640.
`Can your doctor for medical advice about side effects. You may report side ef(ects to FDA at 1..000-FDA-1088.
`
`SHARGEL
`LEON
`1535·226 CARLEIGH MILL
`RAL t;IGH, NC 27603
`RX ;
`
`00#
`Ref= 3
`
`Patient Pay: $317.48
`
`WAL-MART PHARMACY 10-1372
`4500 FA YETIEVILLE RO
`RALEIGH, NC 2760J ·0000
`IIIA8P: 34-26687
`VIMOVO 500-20MG TAB MCK
`SHARGEl ,MARTIN C
`QTY: 12 DAW: O DAY SUPPLY: 6
`
`PRIORIT Y: IN STORE
`NEW
`
`NDC: 75987-D030·04
`
`DAT-t:: 05(18!15
`
`t.,...-
`
`I o ~ * ";\·~1, 1-\?
`e'ff . * l?/1'1--
`v1;vtoV6
`5&o -z() fA!
`1f {2 rt )11~ '-18'
`
`----------- ·-·· _.,...-....... ~~~4.,._ _ .. ,_ ... _.,-e
`
`t .,1,
`Walrnii5lr -'a'~
`
`Save money. U'lla be·tter.
`
`( 919 ) 772 - 875l
`MANAGER JORGE ROJRS
`"1500 FAYETTEI/ILLE RD
`RALEIG~I NC 27603
`ST# 1372 Of'# 00006673 TEll 80 TR# 003"19
`RX. 78655'\6
`31 7. 48 H
`038 tlT't' 1 H
`EQ OHEP CAPS 00'~87"1201)"(81 H
` ~88 ~
`EQ NAPRO'K U 0681 1 ~~·1 '7'767S
`32., · ~ ..
`SUBTOTAL
`7 • ,.,
`TAX 1 6. 7Eitl ~
`0 · 8'1
`330. 18
`·ro·rAL
`330 . 78
`IJISA TEND
`
` ·
`66
`
`itU<II 0138
`
`I 1
`
`Visa Credii uu u :H£
`APPROVAL II 06015B
`REF I 513800652917
`TRANS ID - 3051381'386<10310
`VALIDATION - RT"T
`PAYMENT SERVICE - E
`AID A0000000031010
`TC F2C5719D777"15697
`TERI1INAL I SC010183
`•Stgm~ture Verlf'lt>tl
`16:31:19
`OS/1 8/ 15
`CHflNGE DUE
`
`0 · 00
`
`I ITEMS SOLD 3
`ret 1106 7587 ·rs:a> 9602 2353 7
`I\\\~~\\\\\\\\\\ \1\\\\1\\\\\\\11\ I\\ I~\ \Ill\ 1\\1\\\1\\1\ \II \1\1\ II I \t\ \\1 \\Ill ~\1 1\\1
`
`Low Prices Vou Can ll·l!st. EverY Oa!f.
`05/18/16
`1~: 31 :19
`Ul·CUSTOI'IER I~P'IU4
`
`
`
`TAMPOI EVIIl!M: Do not .. 11111 All u'dor Oil
`prLll!dl'f.~-lor)'U..-· <6l**luM
`zaund-cl~31l!llllllrn<6~
`IIIPORTA!rn Re3!l It~~- a """"""J'
`br.oro U!ll ~<er.~ c:a...,.._., l conur.s
`
`""~IM:rnl211on
`Tips for Managing Heartburn
`• Do not lie flat oc bend (f{f)r after eating
`• Do not wear tlght-rrtbng dothtng around
`l!le stomaoll
`• Oo oot eat before bodtime
`• RaiSe tlte head of your bed
`• Avoid heartboKn·causing foods sudl as rich,
`$1llty, 1a11y or rtied foods, dlocolate, caffeine,
`alcohol and cer1ail!IU1S ancl.egelables
`• Eat slowly anc1 aWlid big meals
`• r overweigllt, lose we~~
`• Wtsmo~ing
`
`{/;V~E 11/,lf,Zt~t.E
`4"'1 It rf- tv E tf I v t"f
`?o lkj /1.rJ.};
`tf (, q fJ /!Lf C"f'5
`
`I I III I I
`
`2
`
`LOT NO.
`
`EXP.
`
`
`
`( 919 ) 772 - 8751
`MANAGER JORGE ROJJ~S
`'1500 FAYETTEVILLE ~ 0
`RALEIGH NC 27603
`ST# 1372 OP# 00007317 TE# 13
`TRfj 07304
`0305732'15028
`NEXIUM 28
`18.44 X
`SUBTOTAL
`18.44
`TAX 1 6. 750 X
`1.24
`TOTAL
`19.68
`VISA
`TEND
`19.68
`**** **** ***M 0138
`Visa Credit
`I 1
`APPROVAL # 37917B
`REF # 615500697343
`TRANS ID - 385155621918477
`VALIDATION - F7X'I
`PAYMENT SERVICE - E
`AID A0000000031010
`TC l 01FFF09F4'111CE8
`TERMINAL # SC010993
`*NO SIGNATURE REQUIRED
`06/04/15
`
`CHANGE DUE
`0.00
`# ITEHS SOLD 1
`TC# 5903 0293 0801 9687 "304?.
`llllllllllllllllllllllllllll/11 1/lllllllllllllllllllllllll./lllllllll fllllllllllllllllllll
`Low Prices You Can Trust. Erter~r !Ja!l .
`06/04/15
`13:16:35
`***CUSTOMER COPY*·.U
`
`I l!J·~~~
`
`-,~.:~
`...
`. -r.
`00
`
`Clinically Proven to
`Treat Frequent
`Heartburn
`
`Maytakelto4 daysforfull effect
`
`PM054078
`
`3 0573 2450 28 s
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