'E ' <br /> CITY or cuchL PUS ._• a.. . 3:,...-,•%-,, 4• <br /> 1820 ROOSEVELT BLVD . ynr' _ } <br /> EUGENE. OR. 97402-4159 <br /> 541-682-4812 uuIY uf EulIld. NOS CITY it tutit-NE PUS <br /> 182u kOUsk'vEIT el VD 12('ktdc;EVELT BLVD 1 <br /> 04,27,16 22:32:00 LOOSE. OR. 97402-4159 t: iHl• OR. 97402 4152 <br /> 541-Ga2-4812 ',M1 6S2 1812 <br /> TOTALS REPORT REP'INT 1 1111101'-' PR NT <br /> Elavon <br /> Card Cnt Sale Promo Total Phone Order Phone:-.1 'der";'" <br /> VI s ale im 0.00 300.00 xxxxxxxxxxxx9227 xxxxxxxxxxxx9227 <br /> Sale Total: 4 30 .00 0.00 x <br /> Total: _ VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 25.00 Total: $ 65.00 <br /> 04/27,16 16:20:30 M4746 16:25:29 <br /> Inv u: 000000004 Hnnr Code: 010230 Inv q: *A1M3 003 Appr Code: 131355 <br /> nuY Ut EU(ifHE PUS Apprad: Online A'prvd: 0l: inn <br /> 1820 kUUaE4'ELT BLVD AVS Code: AVS Code: <br /> EUGENE. OR. 97402-4153 1 Y WIiC <br /> 541.682-4012 1 <br /> CVV2 Code: MATCH M i CVV2 Code: MATCH M <br /> 6,2.'41, 22:32:14 <br /> SETTLEMENT REPORT I agree to Pay above total amount 1 amrce to nog aone total amount • <br /> according to card issuer agreement according to card issuer agreement <br /> (Merchant as.-eement if credit voucher) (Merchant agreement if credit voucher: <br /> Batch Mr: 114 <br /> Host Haat: Elavon <br /> es <br /> PoAiL <br /> Merchant: 1 V CreSCtKrPW��L y� _ <br /> $ 300.i10 <br /> :517 5 s ' <br /> Merchant Co, / <br /> Total 5 f 300.00 Merchant COPY • <br /> Settlement Successful [HANK YOU! THAN(YOU! <br /> GB01 11404280132 "^ " � x t <br /> '; <br /> • • • • 0. * <br /> illi I i t 1 I.LKiENE POS <br /> CITY Of EUGENE POS <br /> EVL[P1 fw 1828 ROOSEVELT BLVD <br /> -1020 ROW EVELr 810 ld>'u::u;.CVELT BLVD EUGENE. OR. 97402-4159 <br /> EUiENL. OR. 97402-4159 Et1G.'.Nt, rk. 97402-4159 . f 25.00 + <br /> 541-682.4812 541-602-4812 1' 4812 <br /> REPRINT 65•00 + <br /> REPRINT REPRINT . 40.00 + <br /> Phone Order 003 3,1,4 a.o>..e t <br /> . ' one' Order Ph <br /> Phone Order I ,Mid 130.00 * <br /> ixxxxxxxxxxxl463 xxxxxxxxxxxx';�� VISA xxxxxxzxxzxx52� <br /> /ISA Entry Method: Manual VISA Entry Method: Manu Entry Method' Manual <br /> total: $ 40.00 Total: $ 06.0 Total: $ $0.00 <br /> 04/2746 90.00 + <br /> N/27/16 16:44:20 04'27/16 10:41 i6:01:41 001 >>;,,�=..a 0.. <br /> nv H: 1 J i i ;u5 !fpr Code: 122095 Inv 4: 000000001 Aaar Code: „ Inv qc ;2,402 A Code: 55460 v`,�`+� 90.00 * <br /> alrvd: Online Apprvd: Online f +ud: Online <br /> AVS Code: <br /> VS Code: AUS Code: RAC MATCH V i a 80.00 + <br /> VV2 Code: MATCH M CVV2 Code: MATCH M CVV2 Code: NOT PROCESSED P i 001.o a, o. <br /> `l <br /> I ague. to Par --c(Q.�' 80.,;;0 * <br /> I agree to may above total amount above 10001 amount 1--.k;,10-6-'` - <br /> I agree to Par above total amount according to card issuer agreement <br /> according to card issuer agreement according to card issuer agreement (Merchant agreement if credit v <br /> (Merchant agreement if credit voucher) (Merchant agreement if credit vouc-se a.cfrcr) <br /> c---)( <br /> n�i vers: kliticGvoX---- % � 130.00 + <br /> 90.00 + <br /> 00 + <br /> 8 .0/J 1 Mer chat Cool. <br /> n0 <br /> Mer ehmd COPY `m 761c Merchant CoP�f fL10030 a o 0 0 0 0 0 0 0 0 0• <br /> (HANK YOU! THANKYOU! NAM( YW! <br /> ' ca 300•oo * <br />