Payment Receipt Confirmation

Your payment was successfully processed. You may print this receipt page for your records. While viewing the online receipt, select
continue to go to your report download page.

Receipt Contact Information

Contact
Contact Name
Name TXDOT - Crash Data & Analysis Contact
Contact Url
Url https://cris.dot.state.tx.us/pu
Contact
Contact Email
Email [email protected] blic/Purchase/app/download/
Contact
Contact Phone
Phone 844-CRIS-HLP find

Transaction Summary

Receipt Confirmation
Description
Description Amount
Amount
TxDOT Crash Report $8.44
Texas.gov Price $8.44

Customer Information

Customer
Customer Name
Name Patrick Fine Receipt
Receipt Date
Date 10/4/2024
Company
Company Name
Name Na Receipt
Receipt Time
Time 05:39:18 PM CDT
Local
Local Reference
Reference ID
ID 601CDJ7H6CE795

Payment Information

Payment
Payment Type
Type Credit Card Credit
Credit Card
Card Number
Number ******0425
Credit
Credit Card
Card Type
Type MAST Order
Order ID
ID 723952902
Name
Name onon Credit
Credit Card
Card Patrick Fine

Billing Information

Billing
Billing Address
Address 7322 Magnolia Blu! Phone
Phone Number
Number 4402650239
Billing
Billing City,
City, State
State San Antonio, TX This receipt has been emailed to the address below.
Billing
Billing Zip/Postal
Zip/Postal Code
Code 78218 Email
Email Address
Address [email protected]
Country
Country US

https://securecheckout.cdc.nicusa.com/Checkout/Receipt?mode=print 10/4/24, 17 39
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