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1 <br /> CITY OF EUGENE PUS CITY OF EUGENE PUS <br /> 1820 ROOSEVELT BLVD EUGENE.ROOSEVELT g2�9159 <br /> EUGENE. OR. 974412-41b9 541-632-4812 <br /> 541-682-4812 <br /> REPRINT REPRINT <br /> Sale Phone Order <br /> zzzzzzzzzzzz5285 zzzzzzxxzzzz8945 <br /> Entry Me <br /> VISA Entry Method: Chip VISA thod: Manua, <br /> Total: 90.00 Total: $ 50.00 <br /> 10:1?:08 648/M14:12:26 <br /> 64846 Inv a: 00,A 4102 <br /> Inv a: 060000001 APPr Code: 012?30 APprud: Online APPr Code: 004510 <br /> Apprvd: Online AVS Code: NO MATCH N <br /> CHASE VISA CVV2 Code: MATCH M <br /> AID: e"00000031010 <br /> I agree above tount <br /> TVR: 08 80 00 80 00 accordingotoacard issueral agraeement <br /> (Merchant agreement if credit voucher) <br /> TSI: F8 00 //// <br /> I agree to Pay above total amount X___ ("'�.e /A <br /> according to card issuer agreement — <br /> (Merchant agreement if credit voucher) <br /> V �J,/) . �. Merchant Copy <br /> ` THANK YOU! <br /> A STEIMER,JOSIE <br /> Merchant CUPy <br /> THANK YOU! <br /> CITY OF EUCENE PUS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OP. 97402-4159 <br /> __ .. 541 682-4812 <br /> 83.'28'16 22:32:01 <br /> TOTALS REPORT <br /> 0,-U 90.00^ + Elavon <br /> 14 61 / 90.00 + - Card Cot Sale Promo Total <br /> 002 VI 2 180.00 0.00 188.00 <br /> `-r0- 180.00 * Sale Total; $ 180.00 <br /> Total: $ 180.00 <br /> CITY OF EUGENE PUS <br /> • <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> 541-682-4812 <br /> 03/20/16 <br /> 22:32:27 <br /> SETTLEMENT REPORT <br /> Batch Num. 093 <br /> Host Name: Elavon <br /> Merchant: 1 <br /> Sales 2 $ 180.00 <br /> Re un.s : 0 $ 5.05 <br /> TotaL 2 $ 180.80 <br /> Settlement Succe55ful <br /> GBOK 09303290132 <br />