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ilur1 t �n /IOZ <br />l <br />THA NK YOU FOR <br />COASTAL SHO PPING AT �. <br />(541) 68 - EUGENE <br />8115113 11;21 TLS2 <br />7aHp/4s t,K�`� 531 SALE <br />EEL T POST 0 EA 6, 79 EA' - _ <br />SUB - TOTAL; 67, 67, 90 <br />so TAX <br />BC AMr,TOTAL: 67.90 <br />BK CARD #; <br />ID; 6 7,90 <br />35 j 1 &580 XX XXXXXXXXX XOb98 <br />AUTy XXX XX <br />Host refe renc e S1 " /'13' #:78,845 ANT; <br />CARD TYPE; S 67 .90 <br />NASrERCA <br />FXPR,, XXXX <br />IIIIIIIII]1111111 <br />JRNL# NB,8 IIlll�lllll�llll <br />46 <br />CusT # 3 <br />R <br />Name; X <br />I agr <br />accordfn to NY above tat <br />(merchant to card rsscrer a 1 amour?t <br />emen <br />Acct; CASNaOret if cr dit voucher <br />Customer COPY <br />