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CiIY OF ListiL FOS • r;•... <br /> 1531 P.OIISEVCI I Bt VD- <br /> 16?u <br /> RCM., OR. 97402-4159• C1IY OF tUGCNf. I.II: Ur tUcklit l'OS <br /> EUGENE'. i >_ 159 541-68'2-4812 rd2u hOUSEVELT BLVD c1 k1(t�9LT B 91St' '.•�._•' <br /> 541-642-4812 I tUrEN�• OR. 97402 4159 54t16&2'4d12 <br /> a 6• <br /> 4161)2-4812 <br /> >e 1E, REPRTNT R b. •INT <br /> TOTALS REPORT One' +ger <br /> Elavon Order Phos 0r t r <br /> Cnt Sale Pror.o Total XXXXXXXXXXXX468� <br /> Entry Method. Manual :xxxxxxxxx:;;;Ile <br /> XXXzzXxXzzzz4626 <br /> i'1 4 1242-06 0 uU 1242.66 MASTERCARD ISA VISA Entry Method: Manual <br /> 1 65.0, 0.00 65.00 65.00 Entry Method: Manua) <br /> Total: otal: $ Total: $ 10.00 <br /> t Total: $ 1.307.06 C <br /> ;1 rota(: $ 1.307.86 15:08:41 160.00 <br /> 6/6/i6 0616 <br /> • <br /> Inv u: 0000.00004 Aper Cock: 853812 09'12;26 05/06/16 11:29:35 <br /> a. 000600001 APPr Code; 153068 Inv h: 000000003 APPr Code: 616092 <br /> ppprvd: Online ltd: Online <br /> AVS Code: ZIP MATCH : Apprvd: Online <br /> I. r rode: ZIP MATCH 1 AVS Code: <br /> CV'V�Cale: MATCH M Code: NOT PROCEO P CVV2 Code: MATCH M <br /> C1TY Uf FU(fllE PoS <br /> ` 1820 ROOSEVELT BLVG l <br /> EUGENE. OR. 97462-4155 - I agree to nay above total amount <br /> 541-682 4812 <br /> according to card issuer agreemen agree I agree to u%av shove total amount <br /> (Merchant agreement if credit voucher( cording par above total amount according to card issuer agreement <br /> Thant agreement ifsuer as-cement <br /> �dti:16 Merchant agreement if credit voucher) <br /> 22:32:47 credit voucher.) <br /> SETTLEMENT REPORT ;, L. Sk-t n K . Bry , <br /> Batch tdrm: 121 <br /> Most flame: Elavon Marchant. CONY -- ________ <br /> Merchant: 1 <br /> rs lierchant Car Mcrd,a,1 COPY <br /> I <br /> 4 i 1.:i32.116 INANI< YOU! , T/011/1. Y00! T 'YOU! <br /> al 5 $ 1.307.06.307.06 t o a <br /> Settlement Successful ' <br /> GBOK 12105070132 <br /> • <br /> '4.11i IN HUM NL POS ` • <br /> e • 1820 ROO;ELLT BLVD <br /> t a , <br /> e <br /> ' LUGLNL. OR. 97402.41b9 <br /> r BC-682-4812 ! :1 :::,,71"7",4.e.,,, <br /> ° Y `. i ' <br /> • <br /> N ..,,;;•,-',.1•,..•.„4v <br /> CLIP (if LlliLlE PUS REPRINT ,....14,,,...„,:,,,,,,,,14;,.t.-.. <br /> , <br /> 1n20 ROOSEVELT BLVD <br /> � .,w C: <br /> MDR, OR 9,4i2-4159 1 �?' <br /> 5AT-682-1812 <br /> Sale <br /> _ ,Fns <br /> xxxxxxxxxxxz0488 <br /> Ref 'lid VISA Entry Method: Chip - <br /> zXXXXxxzz "� <br /> Total: $ 1,157.06 <br /> VISA Entry Method: Manual 05/06/16 13:28:35 . <br /> Total: $ 25.00 Inv a: 000000002 Appr Code: 006636 , <br /> A)prvd: Online <br /> 0506/16 15:56:14 <br /> Inv It: VdD880005 V'i5a Credit <br /> AID: 41000000031010 ' <br /> ApPrvd: Online t TVR: 00 e0 00 80 00 <br /> I agree to Pay acoae total amount TSI: F8 00 <br /> according to cis--d issuer agreement <br /> (Merchant agreem•.nh if credit voucher) j <br /> I aoree to PAY above total amount <br /> -E �1 Merchant <br /> to cert issuer itrvcment <br /> che <br /> yy '„„„..... <br /> (tkrchanF agreement tf credit vaicher) <br /> !j% Y _ <br /> dr .2. <br /> lt�-1'clluli( LOP./ f F'r-- <br /> MANX YGnSl AMEN.BRETT II <br /> . Mer-cha,d COPY <br /> III0N YIN)' . <br /> i\. <br />