Endpoint: vis

RETRIEVAL REQUEST DOCUMENT

Initiated Date: 06/10/2010
Sequence#: 192643189

Retrieval Request Fulfillment

Banco de Venezuela S.A.
Avenida Universidad Con Esq. Sociedad
Torre Banco de Venezuela, Piso 3
Caracas A-1010
Processed Date : 06/11/2010
Processed by: ithe

Retrieval Request Data from Issuer:

Requesting Bank #:
455615
Transaction Amount: 90.00
Card Account#: 4556152806175963
Card Type: VI
Document Reference #: 24692160140000228636938
Merchant Reference #: 22863693
Card Issuer Control #: 000000246
Retrieval Reason Code: 33
Retrieval Reference #: 510161038706
Document Type: 2
Fulfillment Method:

Card Not Present Facsimile Data

MERCHANT INFORMATION
Name:
Location: AMZ*GIFTCARDS
Amazon.com, WA
Merchandise Description:
GIFT CERTIFI
Order/confirmation #:
SKYRCC63QSS
TRANSACTION INFORMATION
Amount:
Order Date: 90.00
Processing Date: 05/20/2010
Authorization Date: 05/20/2010
Authorization Code: 05/20/2010
Authorization Time: 293873
Transaction Identifier:
AVS Response: 000000000000000
Card Verification Respons e (CID):
MCC:
5999
POS ENTRY MODE:
01

CARDHOLDER INFORMATION
Card Account #:
4556152806175963
Expiration Date: 0912
Narne: NELSON F *INOJOSA
Add ress : URBANIZACION CURAGUA PUERTO
PTTPRTfI flR1lA7 R()RfK()

Chase Paym entech, LLC

Phone :(603) 896-6000
4 N ort h eastern Blvd.
Fax: ( 603) 896-8708
Salem, NH 03079