Aft 1 t � <br /> ,1'.';',::',,,,:. <br /> a� s�� ., r, •:., wr o- ; ,. i f• <br /> RAIIt c a+ rs r; <br /> eh t S, CITY OF i ih Elf_POS c <br /> ,., <br /> k 1820 RU6.Et i BLVD { CI HMI EUGENE POS '. 1 <br /> EUGENE, ffl 914,12-4159 I ,4 <br /> 182d ROOSEVELT BLVD I Tri <br /> 5'11 p•.:: •,>f12EUGENE. OR. 97402-4159 r1f'r iA f.ihvrQ Pus <br /> s41-C82 4131'2 4 li R111EL7 BLVD <br /> 06/01,16 22: 2:02 I EUGENE. Oh. 97402.4169 <br /> REPRINT 541 es2-4812 <br /> i mum. <br /> `i. . Phone Order <br /> Phone' Order:. i <br /> Cat-d (Ent ,,.- r.omo Total xxxxxxxxxxxx6139 <br /> xxx <br /> v` 1 0.90 254.00 MASTERCARD Entry Method; Manual :owx6139 <br /> ME i:.-,1 0.00 175.00 MASTERCARDMASTEntryPl°thod: Manual <br /> Sale 1.,tal: f 425.00 Amount:$ 160.00 Amount: <br /> Total: f 425.00 <br /> Tax: $ <br /> 0.00 Tax: $ 15.00 <br /> 0.00 <br /> Total: $ 160.00 Total: <br /> � <br /> 064146 <br /> 0:\ 13:4i:05 06,'01,16 _______15.00 <br /> POS <br /> Inv q. ,r,s 0002 Aper Code; 0433 Inv q; 000600003 13:49:30 <br /> CITY( EVELT LVD Ar�rid: Online for Code: 065450 <br /> 1820 ROOSEVELT BLVD pFPrvd: Online <br /> EUGENE. OR. 97,182-4159 <br /> 541.682-4812 AVS Code: ZIP MATCH 7 <br /> CVV2 Code: MATCH M AVS Code: MA MATCH l <br /> 66/U1/16 22:3[:;t, CVV2 Code: MATCH M <br /> SETTLEMENT REPORT I agree to Pg. above total amount <br /> uer avreement <br /> (Herchantna,ng teeo cent ifcreditvoucher) • <br /> I �,'ee to„ <br /> according s, ttovr Eotal vaunt <br /> Bet,h Num:aae: 137 (Merchant to cant ia-„e,•iltaite not <br /> Host Name: Elaven °1eee ent if creJit v <br /> Merchant: 1 i !,ocher! <br /> Sales 3 6125.00 A-«--- --------------6 y�/,�/J. <br /> Intallil'l7r"� f ap _' - --- •-- -- -- .._ .._ _ - <br /> &s cl'w a Coag <br /> Settleient Successful THAW .'JOU, M"nAi"t Copy 7//D <br /> (ASUK 13 i UCU•10132 <br /> 114+1( YOU! <br /> i • <br /> • MY U EACH& PUS <br /> 182-4 ROOSEVELT dl.vD <br /> t IK E W. 0R. 9741.12-4W.1 <br /> 641.61R-4812 <br /> one'•. 1 <br /> er: , ., <br /> xxxxxxxxxxxx5260 <br /> VISA Entry Method: Manual <br /> Total: $ 250.0015.00 + <br /> 160.00 + <br /> 06i01i16 10:23:29 250.00 + <br /> 0034...44. <br /> * <br /> Inv q: 000000001 Apar Code: 09196 ...... <br /> bid: Online 425.00 <br /> AUS Code: LIP MATCH <br /> CO2 Code: MATCH M <br /> I agree to oa, above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> Xi 'J ts. /-rf-64•6 <br /> Mm.haat Cor%:/ Z <br /> MAW 1410! <br />