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C1 -9:- <br /> t•11V Uf tUlkllt PUSLliY to Mk* NUS <br /> 1 20 ROOSEVELT BLVD • 187/1 idJh'EVEI.T BLVD <br /> EUGCtiC OR. 97402-4159 <br /> tu(Ktlf. OR. 9740?-41.59 <br /> 541'682-4812 541 682 4812 <br /> i2:ilq �- °' 175.00 + R INT <br /> tts.uiisPi <br /> 80.00 + <br /> TOTALS REPORT 10.00 + <br /> Elan 111111111 <br /> 003 111111111111M1- <br /> Cad C I. sale P .>. L.lat 265.00 xxxxxxxxxxxx2893 • <br /> 45. 1 :�,.�(; DISCOVER Entry Method: Chip j <br /> I Vi <br /> ! 66.00 0.00 160.00 0• <br /> eft L.Jtal: $ 150.00 <br /> ISalmi•iota!: $ btri.0tl <br /> low: $ 50:.00 14 ar tw �Cr_ 00.00 + 66/0216 16:50:67 <br /> 001••0..••.'. •• Inv if: ;;;';;;;;, Appr Code: 002018 <br /> 00.00 APprvd: Online <br /> 0• Discover Credit • <br /> t:I1V 14. Hal( Pur AIC': W0001523010 <br /> t UGEh .ROOSEVELT <br /> 974032`4159 0 It�150 00 + IVR' 00 O0 80 Oa <br /> 541632-4812 001 TSI: E8 OO <br /> tl, u[,)t 22:33:09 <br /> 150.0 I agree to nay above total amount <br /> acceement <br /> __—' SETTLEI NT REPORT (Merchantnagreement ifo cards uer credit voucher) <br /> Batt! rime. 138 0• <br /> host Nare. F.,avon R6— I <br /> Morlhobt: 1 <br /> 265.00 " <br /> Sal.-> 5 i :•LI�.Uu + STEPIfEt1S4IiRI'bIUPIfR I <br /> Ivinl 1 505 01.7 90.00 + IkrJmid Ci,P 8 Jo 1 <br /> 15 • + (haus vw. <br /> Settlement Successful <br /> (d)UK 1380l:GiU133 003 a c 0 0 0 0 0 m••• <br /> 505.00 <br /> • <br /> • <br /> C l 1 r (1F DUNE OS <br /> l.a 1 f 1:1 GLIotiK 1'UJ 1826 R065EVLLT MVO <br /> 1820filo cv LT 01.V0tl1GE1 . OR. 97402-4159 <br /> +.I I r lit IUAil:,IL. POS i EUCEIIr OR. 574/+2.41`./ 541 602-4812 <br /> T <br /> llKfi, OR 97402.4159 ! 541 68[4812 R PRINT. <br /> 54168241812 'EPRIN " . <br /> • P N - . Phone,Order.. - - <br /> Phone <br /> zzxzxxzzxzzz2719 xxxxxxxxxxx 5274VISA Entry Method: Manual <br /> xxxxx8755 VISA Entry Method: Manual <br /> VISA Entry Method: ChipTotal: $ b0,00 Total: $ 175.00 <br /> To 10.00 1 06/02/16 13:30:27 <br /> 06 f02/16 12:03:46 <br /> Inv m: 80,;i;;;2 Aper Code: 004360 <br /> 06/02/16 14:17:04 Inv u: R, Appy Code: 002482 I APPrvd: Online <br /> : ...—___:3 ) <br /> nv ': 040660003 Appr Code: 011268 ; ()Prvd: Online AVS Code: <br /> APPrid: Online AVS Code: ZIP MATCH 1 CVV2 Code: NOT PREM/ S <br /> CHASE VISA CVV2 Code: MATCH M <br /> AIDpp�����II''pp,, rr,, r1 )) 1 Agee to Dor above total amount <br /> ' AUliiLNjN$3t'li1010 I agree to aa, above total amount according to card issuer agreement <br /> (� <br /> i (Merchant agreement if credit voucher) <br /> IVR: 0VVII++6 UV 6d 806D according to card issuer agreement <br /> (Merchant agreement ff credit vucherp <br /> ISI: F800 j <br /> pi-rAA_ <br /> nom' � <br /> I acree to liar above total amount ��� <br /> according to card issuer agreement Mai:t:�i•l Co..r lC <br /> ',Merchant agreement if credit vo cher) I <br /> th., 1',.n.,„t 1',. . <br /> c (HANK yW f <br /> X........k....4n. _ 8. <br /> idiEl Ulfati'ulw <br /> Mercha I Cove <br />