• <br /> • 1.• <br /> • t i <br /> CITY OF EUGENE POS <br /> IGEN . OR. 974 2-4D iII•l W EUGENE POS CITY OF EU6ENC FOS <br /> EUGENE. OR. 812 9159 LS20}tUtj EVELT BLVD 1820 ROOSEVELT BLVD <br /> 541-682-4812 <br /> + <br /> EUGENE. OR. 974uc-a159 EUGENE. OR. 97902 3159 <br /> 05.24.16 22:x:85 541-682-4812 • 541-C82 4812 <br /> TOTALS REPORT REPRINT REPRINT <br /> Elavan Phone Order <br /> Phone Order-. <br /> Card I:nt Sala Po•a Total <br /> V12 235.08 0.00 235.00 xxxxxxxxxxxx6065 r zz�gaxxxzxzz3899 <br /> MC 1 148,00 0.80 140.80 MASTERCARD Entry Method: Manual VISA Entry Method: Manual <br /> Sale rote]: $ 375-� Amount:$ 140.00 <br /> $ 375.00 $ 0.00 Total: $ 130.00 <br /> Tax: 11:3L:?e <br /> Total: $ 0524/16 <br /> 140.00 ' Inv 0: 101062 aper Code: '397970 <br /> ii.,% 05/24/16 09:28:20 App►vd: Online <br /> C2TY Or EVELT PDS Inv I1: 000000001 Appr Code: 047001 ' AVS Code: EXAC MATCH Y <br /> 0% 1823 ROOSEVELT BLVD <br /> EUGENE. OR. 57902-9159 Apprvd: Online CVV2 Code: MATCH M <br /> 541-rte-4812 AVS Code: ZIP MATCH Z <br /> CVV2 Code: MATCH M I agree to ,.aY above total ame,,,t <br /> 052#,16 according to card issuer .5w-resent <br /> 22:i:3:10 (Merchant agreement if credit voucher) <br /> SETTLEMENT REPORT I agree to Pay above total amount n( n y� <br /> according to card issuer agreement y !`7 r� <br /> Belch amr: 1;2 (Merchant agreement if credit voucher) A <br /> Nost Merchant: <br /> Ela.;on i r� <br /> Merchant: I 80.011\114;d6 <br /> J 7 <br /> Rales 3 X Ke j`�( ` iitr,1wul COPY <br /> Re un.s : y = 3'b•00 Ate_ �•lvl�„�� — <br /> Total 3 .0s <br /> ALAN('Nll! <br /> $ 375.011 V t. • <br /> tr � <br /> N�rch.,t Cony 1` <br /> Settlement Successful IIIANt YOU' <br /> GBOK 13205250133 <br /> //1,C\ <br /> /�\ °\00. * <br /> CITY 01 ttAENE PUS <br /> 1Icier <br /> 1020 L JI L T BLVD <br /> n, EUGENE. OR. F402-4158 <br /> 541io‘r �• 140.00 + <br /> 7 <br /> f1Q 4812 <br /> REPS 130.00 +///\ <br /> A \\ 002,•0,,.0°.... <br /> 17) `` /- Phone Order 270.00 * <br /> J xxxxxxxxxxxx1213 <br /> VISA Entry Method: Manual <br /> Total: $ 105.00 105.00 + <br /> 001•• °. <br /> 05'24'16 17:42:48 105.00 * <br /> Inv 0: ;s•rr,3 Or Code: 729494 <br /> Apprud: Online <br /> AVS Code: EXAC MATCH Y <br /> CVV2 Code: MATCH M 0. * <br /> I agree to Pa; al.•...r total amount <br /> according to cJoI issuer agreement 270•00 + <br /> (Merchant agreement if credit voucher) <br /> 105.00 + <br /> 002 o 0 i J 3 J J J C•.O• <br /> X_ �t c 375.00 * <br /> Merchant Cony <br /> THAN(YOU! <br />