Admin Client || Dee Karawadra

Created On Apr, 15 2024 16:25pm ID #7659 Back

Merchant (Business) DBA Name : Wat Phou Market

Business Legal Name : Wat Phou Market, LLC

Contact Name : Davone Keobupha

Contact Phone Number : 337-484-3459

Physical Address : 4807 Johnson St, Suite B

City : Lafayette

State : LA

Country :

Zip : 70503

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type>Employer Identification Number</irs_tax_id_type>
  <irs_tax_id_no>84-1780182</irs_tax_id_no>
  <ownership_type/>
  <business_incorporated>Louisiana (LA)</business_incorporated>
  <business_description>Supermarket Groceries</business_description>
  <mailing_address>4807 Johnson St, Suite B</mailing_address>
  <mailing_city>Lafayette</mailing_city>
  <mailing_state>LA</mailing_state>
  <mailing_zip>70503</mailing_zip>
  <business_phone>337-484-3459</business_phone>
  <contact_first_name>Davone</contact_first_name>
  <contact_last_name>Keobupha</contact_last_name>
  <contact_phone>337-484-3459</contact_phone>
  <location_address>4807 Johnson St, Suite B</location_address>
  <location_city>Lafayette</location_city>
  <location_state>LA</location_state>
  <location_zip>70503</location_zip>
  <avg_ticket_amount>50.00</avg_ticket_amount>
  <ave_month_volume>40000.00</ave_month_volume>
  <bank_name>Chase</bank_name>
  <bank_transit_number>065400137</bank_transit_number>
  <bank_dda_no>501983883</bank_dda_no>
  <gross_vs_net>Gross Settlement</gross_vs_net>
  <refund_policy>3</refund_policy>
  <owner1_first_name>Davone</owner1_first_name>
  <owner1_last_name>Keobupha</owner1_last_name>
  <owner1_home_address>1034 Raymond Dr</owner1_home_address>
  <owner1_home_city>Broussard</owner1_home_city>
  <owner1_home_state>LA</owner1_home_state>
  <owner1_home_zip>70518</owner1_home_zip>
  <owner1_home_phone/>
  <owner1_title>Owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1978-03-09</owner1_dob>
  <owner1_social_securrity_no/>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>007396188</owner1_number>
  <owner1_expired>2030-03-09</owner1_expired>
  <owner1_issuer_state>LA</owner1_issuer_state>
  <owner1_issued_date>2024-02-16</owner1_issued_date>
</object>

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