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95629
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95629
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Last modified
7/7/2016 9:37:03 AM
Creation date
7/7/2016 9:37:02 AM
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PW_Operating
PW_Document_Type_ Operating
MTO
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• <br /> 6i29- (ico <br /> cm, 01'ftu,f.Nt FOS <br /> 1B20 RUu:t4Lti BLVD <br /> EUGENE. OR. W402-4159 <br /> 54l 602 4012 <br /> 01,,i$1.6 <br /> 22:32 tw <br /> A.49\ TOTALS REPORT <br /> Elavon Cl IV 01' (DUNE PGS <br /> Ca J 1620 ROOSEVELT BLVD • C11r i:i _i4tiil BlVD <br /> Cat 5a1c Fronw EUGENE, OR. 97402-4159 <br /> ------------- Tutsl <br /> 541.-02-4812 ,541 F� 4012 <br /> VI 2 :SJiEUGENE. <br /> R(iOR. 3 i 2-4 <br /> 0 55.00 EUGENE. OR. 9i4U2 4]` <br /> �1� 1„la,: REPRINT-- • <br /> Total: 55 OU REPRINT <br /> $ 55.00 <br /> • Phone Order ,i, <br /> zzzzzzzzxzzx7896 Sale <br /> A. <br /> VISA Entry Method: Manual it :azzzzzzzxzz7276 <br /> Total; VISA Entry Me' rt: Manual <br /> 40.00 <br /> 0649/16iota Total: $ 15.0© <br /> Inv 4: st,400 1 APPr Code: 03306 ' 06/2916 12:00:37 <br /> APprvd: Online Inv b: 000000002 Aper 6903150 <br /> AS Code: ZIP MATCH Z APPrvd: Online <br /> CVV2 Code: MATCH M AVS Code: <br /> CVV2 Code: NOT PROCESSED P <br /> I agree to NOY abo.e lots! amount <br /> according to card issuer agreement 1 agree to P3Y above total -:ount <br /> (Merchan avree,nent if credit voucher, <br /> 17, according to card isxrcr• a , ement <br /> t` 9] <br /> \ `� y �” tk Q� Merchant agr-c,,rent if credit voucher) <br /> �lti 40.00 ; --- GL (' <br /> Me c,sn[ COPY /3/ <br /> 15.00 + 11YOU!Mr Merchant COPY <br /> 002*0 9 0•0 0 2•••• I t1ANlt YOU! <br /> 55.00 <br /> 1. . <br /> { <br /> 1 <br /> i <br /> 1 <br />
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