• <br /> CITY OF EUGENE POS <br /> 1826 ROOSEVELT BLVD <br /> EUGENE, OR. 97402-4159 CITY OF EUGENE POS <br /> 541-682-4812 1820 ROOSEVELT BLVD <br /> ''EPRINT�T EUGENE. OR. 97462-4159 <br /> t R 1 541-6J2-4812 <br /> • <br /> 08/29/1622:32:01 <br /> Sale TOTALS REPORT <br /> xxxxxxxxxxxx5285 Elavon <br /> VISA Entry Method: Chip <br /> Card CnL Sala Promo Ictal <br /> Total: $ 40.00 VI 1 40.66 6.00 40.00 <br /> 03/29/16 10:02:38 '� Total: $ 40.00 <br /> Inv a: 00 00001 Aapr Code: 0?154D <br /> Rpprvd: Online <br /> CHASE VISA <br /> AID: A0'„000031010 <br /> CITY OF EUGENE PDS <br /> TVR: 00 80 00 80 00 1820 ROOSEVELT BLVD <br /> TSI: F8 00 EUGENE. OR. 97402-4159 <br /> 541-682-4812 <br /> 22:32:27 <br /> I agree to Pav above total amount 6i-25.16 <br /> according to card issuer agreement SETTLEMENT REPORT <br /> (Merchant agreement if credit voucher) <br /> Lwe4t �' Hatch Num: 694 <br /> X <br /> Host t: Elavon <br /> Merchant: 1 <br /> STEIMER-JOSIE $ 40-00 <br /> Sale> 1 S 0.0( <br /> Merchant COPY Refun.s : 0 $ 40.00 <br /> Total 1 <br /> THANK YOU! <br /> Settlement Successful <br /> GBOK 09403300132 <br /> • <br /> • <br /> 3 s <br />