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• <br /> • <br /> CHI Ilf EPUS 15 112,----10266 kI111SEVELT VEI.T BLVD <br /> Laid- UR. 974112-4159 <br /> 541 682-4812 • <br /> REPRINT <br /> Phone Order <br /> XXzxxxxxxx4356 CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> VISA Entry Method: Manual EUGENE. OR. 97482-4159 <br /> 541-682-4812 <br /> Total: $ 200.00 t 05,112,16 <br /> 22:32:05 <br /> 05/02/16 13:36:9 TOTALS REPORT <br /> Inv u: 0060M-101 RPPr Code: 5120 Elavon <br /> RPPrvd: Online <br /> AVS Code: .a d 6u1 Sale Promo Total <br /> ------------------------------- <br /> ----------- <br /> CuV2 Code: MATCH M I 1 0.00 200 <br /> Sale Total: <br /> f 20U.oe <br /> Total: <br /> I agree to oar above total amount ; 200.00 <br /> according to card issuer agreement <br /> merchant agreement if credit voucher) <br /> X 1).1.417K-- ,31 • <br /> CITY OF EUGENE POS ) <br /> Neriha=�t COPY 1820 ROOSEVELT 7402--159 <br /> EUGENE. OR. <br /> H 541-682-4812 TAWYOU! <br /> 06,02,16 <br /> 22:33:10 <br /> SETTLOOT REPORT }, x F , r .t <br /> 'i <br /> „.. "� x' ;..batch Nur: 117 <br /> Nost Name: Elavon <br /> r1 :'1!Y 4 { F Nerchant: 1 <br /> r. Se1ee 1 <br /> •. �'� 9 2110 0U <br /> Total 1 $ 200.00 <br /> Settlement Successful <br /> • G80K 11705030133 <br />