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,--- :- \\ <br /> • <br /> I(' . <br /> \� lirr l• i;kd iZ ilii / <br /> \ 1026 kO974 BLVD / <br /> tI1GEN5 OR. y415y I <br /> /�A 591 6is`[ 4812 , <br /> v1\ =, <br /> �; �' i <br /> Cllr OF EUGENE POS . , . <br /> '. ;: d e <br /> = ,-: <br /> 1826 VOOSEVEIT BLVD <br /> EUGENE. OR. 97962-41S9 XXXXXXXXX%XX3$66 <br /> 541-682-4812 i <br /> 06�16�16 22:32:07 ,I.,=,'.-..'•.!...::; VISA EntryI1c1ho laf,U3l <br /> 77-ta, ..14.)'i*` <br /> TOTALS REPORT ,.=, y Total: $ 25.0v� <br /> Elavon J 86'16'16 p���15:4[9:330 <br /> Card Gib Salmi P un o Total t .fa Inv g: i i 4,111 V APPr Code: 236404 <br /> VI 1 25.06 0 60 25.06 ANAPtrd: Online • <br /> AVS Code: EI(AC MATCH Y <br /> MC 1 15.u8 O.bU 15.00 „. ry�M p <br /> Sale ictal: $ 40.00 �Y'!t Code: MATCH M <br /> Total: f 90.00 <br /> i I agree to oar above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> • <br /> CIT'!Of EVVS ::+.-. ]� <br /> 1820 ROOSEVELT <br /> BLBLVDJ/ <br /> t EUGENE. OR. 97402-4159 Manhaot COPY641 <br /> 541-682-4812 <br /> j 'f IIIAHI( YOU, <br /> 06116'16 22:'32:32 4i <br /> SETTLEMENT REPORT <br /> 1 Balch Hum: 144 ,I~,, <br /> Host Mame: Elavon <br /> Merchant: 1 <br /> Salt-5 <br /> us . 2 f 40.00 j <br /> s • U O.::E <br /> •• Total 2 <br /> $ 90.60 to IY ilt UarENI PUS <br /> p 1l Successful <br /> r 1820 ktN1;Etj T 8I V1) <br /> Settle/ent Successful Elk�N5• OR. 97402.4159 <br /> 680K 19806170132 591 6&29812 <br /> REPRINT <br /> ... ! <br /> 4„ - f <br /> 1 <br /> ;: • XXxxxXXxxxxx1814 <br /> MASTERCARD <br /> Entry Method: Chin <br /> „ I <br /> 7atil: 15.00 <br /> N6/16/16 f <br /> 1' s 25.00 + Inv u: 000408801 Aper code; 0 ? <br /> 'W <br /> 15.00 + rvd.Online <br /> 002 CAPITAL ONE <br /> 40.00 AID: A0000600041010 <br /> 16_kd <br /> IVR: 0004008000 <br /> ISI: 68 00 <br /> I agree to gar above tot51 amount <br /> according to card islrrer agreement <br /> (Merchant agreement if credit vwcherl <br /> LLIGZ,1rnik� <br /> KNEELER_ELI?ABETII --__ <br /> Merth ma Copy � <br /> 1i3 • <br /> **( YOU! <br />