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95353
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95353
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Last modified
6/29/2016 9:04:17 AM
Creation date
6/29/2016 9:04:16 AM
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PW_Operating
PW_Document_Type_ Operating
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7...\\\ <br /> CITY OF EUGEt1E POS <br /> C1)Y OF EVE TE LVD 1820 R00:EVELT BLVD <br /> E�¢T{E, OR. 97402 4169 <br /> (o # <br /> 1820 BOOR. 721.41 541-682.1412 <br /> EUGENE. OR. 97482 4159 <br /> 541-682-4812 REPRINT <br /> U6.-21i.16 <br /> r2.s2 oa <br /> TOTALS REPORT ' Phoni <br /> Phone. Order Order - <br /> Ban xxxxxxxxxxxx2829 <br /> Card CIA Sale Promo )otai VISA EntrY Method: Manual <br /> vi 1 tti.00 u.uu 75.00 j 75.00 <br /> Salt •uta1: 75.al Amount: 5.00 <br /> local: i 75.00 Tax: $ _ <br /> Total: $ -75.00 <br /> 008,16 14?11:19 <br /> Inv a: 0000OCE ANT Code: 028?56 <br /> Ill? OF COME NDS puurvd: Online <br /> ]GEN BO97T BLVD- 1 nr Code: <br /> EUGENE. OR. 941x159 AVS <br /> 541 682-4012 <br /> CVV2 Code: INCH M <br /> u,--..!.....LI a:32.42 i <br /> i <br /> SETTLEMENT REPORT i agree to gag above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> Hemet Name; Eleven lll%JS <br /> Mercant: 1 Yv k� �� <br /> r <br /> `:bite 1 $ it.uu x__Li .� <br /> �`° 7 7 <br /> Tot 1 s MOO Mei clwul.coVY / <br /> Settlement Successful 114''O'' <br /> 200 15F..0625u132 <br />
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