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CITY Of t:l Gai POS <br /> 1320 80<iwura el_vo <br /> E1$2OO. Oit. 9i1f2.91t.9 CITY lir LOUPE POS <br /> roll 68Y-9812 1320 . OP. 974 BLVD <br /> 4'45 L' <br /> F11FiElIE. OP. 91982 9159 +i <br /> R PRINT 5g! 112 <br /> REPRINT 0' <br /> Phor e'VMer <br /> Phone a, . -r: .L1'. 104:9.0°00 <br /> �" 105.00 + <br /> xxxxxxxxxxxx2284 40•CO + <br /> MASTERCARD Entry Method: Manualxzzxxx:a1846 40.00 + <br /> Total: $ VISA Entry Method: Manual 003- a,.a o y..•: <br /> 60.0© Total: $ 85•C <br /> 05/26�16 13:2218 111.50 <br /> Inv u: 6tuq Aper Code; H58276 05/26r16 15:4312 9? 0 <br /> Inv <br /> AMA: Online ! q; ::2,r„1 Apnr Code: 026460 " <br /> AUS Code; Apprvd: Online 1� t 150•00 + <br /> CAT Code: MATCH M AVS Code: <br /> CV11?Code; r . 001.00 .. <br /> YL `I MAiCHM 150• <br /> I agree to gar above to}al amount <br /> i <br /> Merchantrding toe cardent issuer agreement e <br /> I agree to oar d is ter a amount <br /> according to card issuer agreement 0 <br /> Merchant agreement if credit voucher! <br /> X <br /> LP(40 : -',-.., ', .1* ,no..1.•.,i coy i . /,-- �� <br /> i <br /> THANK YOU! <br /> c I ner�hmd C.ay • <br /> THAW YOU! <br /> Ap.cSC'' 40.00 + <br /> 001........ .... <br /> 40.00 <br /> 0. y <br /> tn-AA' +j/� T <br /> • yl <br /> c 60.00 + <br /> / \,.,,,,, ` 001 0•• <br /> i6/ <br /> fa\ <br /> 17) <br /> 185.00 + <br /> 150.00 + <br /> 40.00 + <br /> 60.00 + <br /> 1 005..,. <br /> t 546.50 <br /> 0. * <br /> , t 111.50 + <br /> 001....00._ <br /> jk <br /> . <br />