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EO1-11116
MA-516-100 SERIES
Food Stamp Tender Print Format Samples
GENERAL Type ILLINOIS Type
Food-stampable Item
Food-stampable Total
(including tax on Food-
stampable Total)
Food Stamp Tendered
Change in Cash
Change in Food Stamps
Food-stampable Item
Food-stampable Total
(excluding tax on Food-
stampable Total)
Food Stamp Tendered
Cash Total
Food-stampable Item
Food-stampable Total
(excluding tax on Food-
stampable Total)
Food Stamp Tendered
Cash Total
Food-stampable Item
Non-stampable Item
Food-stampable Total
(including tax on Food-
stampable Total)
Food Stamp Tendered
Cash Total
The customer may pay up
to the food-stampable
amount in food stamps,
and the food-stampable
amount is tax-exempted
regardIess of the actual
amount paid in food
stamps.
The customer may pay up
to the food-stampable
amount plus its taxes due
in food stamps.
The customer may pay up
to the food-stampable
amount in food stamps,
and the amount actually
paid in food stamps is tax-
exempted.
TEXAS Type NEW JERSEY Type
The customer may pay up
to the food-stampable
amount in food stamps,
but any taxes due must be
paid in cash.