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94164
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94164
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Last modified
5/17/2016 8:55:15 AM
Creation date
5/17/2016 8:55:14 AM
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PW_Operating
PW_Document_Type_ Operating
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:, C 114 T .R�('. ^ / 1 \ <br /> .J , :' 1+( ,^j <br /> y x 1 - * <br /> eu r # 3 , SKF 1 <br /> 11 <br /> .. <br /> !:1!'! UI tUGENt FUS ON Of tb(ENE r.',' <br /> CITY Uf t:UGENL POS 1826 ROOSEVELT BLVD <br /> 1820 RU6SEVELT b"vI; <br /> EUIiENB.'OR 514112 4159 EUGENE. OR. 9i 4u[ •:1;9 <br /> 1820 k0SE <br /> 0vELT 6LVD 541 682 4812 5`I1 682 4;i 1'L <br /> cUGENE. OR. 974u2-4159 <br /> 541-682-4812 <br /> U5,1V,16 REP'INT :: . ._. R Pay ':--.•22:32:04 <br /> 1 <br /> TOTALS REPORT Phone -Order 'hone r•: » <br /> Elavon XXz%zzXXXXXX0511 nxxxxxxxxxx6784 <br /> Card Cnt Sale Promo Total - VISA Entry Method: Manual ' MASTERCARD Entry Method: Manual <br /> VI 2 346.80 0.00 349.80 Total: 250.00 ount:$ 310.00 <br /> '' 1 me 1 318.00 0.u0 318.00 3 <br /> q sal. Ltd': $ 658.08 05110,16 Tax: 0.00 <br /> total: 12,2b:16 <br /> a <br /> $ ss9.e9 Inv a: ;.;.41441 IPPr Code: 022616 Total: $ 310.00 <br /> Apprvd: Online 05%10/16 <br /> • <br /> AVS Code: ?1P MATCH Z Inv u: 000 30002 13:51:34 / <br /> APPr Code: 01088C <br /> CVV2 Code: MATCH M . Apprvd: : , , .• <br /> CITY Of EUGENE POS I agree to Pan above total amount , S Co LIP MATCH 1 <br /> 1820 ROOSEVELT BLVD according to card issuer agreement CVV2 Code: cm M <br /> EUGENE. OR. 97482-4159 Merchant agreement if credit voucher) <br /> 541-682-4812 <br /> ii5.1Uv16 ,y...... �Irxr� I agree to may above total amount <br /> 22::.i2:31 y _ �� according to card issuer agreement <br /> J •�_ l Merchant agreement if credit voucher) <br /> SETTLEMENT REPORT <br /> r,, . <br /> Y 4/ z <br /> Batch Nhmi: 123 1 <br /> Host Name. E1 n, :r iHANI. YOU! --______-_ i <br /> Merchant: 1 <br /> i^� Sal .• 3 f 650.UuMOMMfkrch.r.t Cour ����'-~ ' <br /> Total 31L <br /> 650.00 rllru(k Your <br /> Settlement Successful ! <br /> ' GBOk 12305110132 <br /> M'x• 250.00 + 1!Y UI Edlitrit PUS <br /> 1320 kWSFVEI.1 BLVD <br /> 8 310.00 + t11GEuf, OR. 97402.4159 <br /> 541 6u2 4812 <br /> Dye„QG 90.00 + <br /> 0030 0 0 2, ,20 2 0•0••• • <br /> ,a••• ' PRINT <br /> 650.00 <br /> Sale <br /> XXXXXXX%XXXX4664 <br /> • <br /> VISA Entry Method: Sniped <br /> I <br /> Total: $ 90.00 <br /> • <br /> 05i18i16 16:20:25 <br /> Inv b: 060000003 A'Pr Code: 013524 <br /> APprvd: Online <br /> I agree to oar above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> X--el.-(-4)4',k. 12 .65.,c------___ - <br /> MATTHEW <br /> - -- <br /> MATTHEW W CONLEY <br /> ner.hmd Coo:v/�7 <br /> THAW YUU! <br />
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