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. ,,rk0-55 ie (3D (I (o <br /> )' wi <br /> t;1 l r ut to6EME. POS <br /> 1820 ROOSEVELT 8EVO • <br /> EUGENE'. OR. 97402-4169 <br /> 541 6574812 CI1Y Of WINE FOS <br /> CITY Of EUriENE POS t <br /> 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD M <br /> u�.-iu ii; X2:3207 EUGENE, C . 91462-4159 om ' <br /> 541-6o2-9$12 <br /> tUGENL, -6 97462-4159 <br /> TOTALS REPORT s41-6:<2 4012 <br /> • <br /> 'RINT -, REPRINT <br /> Elavon <br /> Card Cot Salt' Promo luta! Pchone Order Phone :er <br /> VI 1 10 00 6.00 30.00 xxxxxxxxxxxxOp94 <br /> MC 1 275.00 o.uu 275.00 i i xxxxxxxxxxxx9103 <br /> Sale Iota!: 3us. Entry Method: Manual VISA Entry Method: Manual <br /> Tolyl: $ 305.00 raxunt:$275.00 Total: $ 30. 0 <br /> 6.00 <br /> ---___ _ 06/3046 16:21:05 <br /> �c�-Zjij i Total: 275.00 Inv f: 000000062 Aper Ccde: 228390 ' <br /> { <br /> 66r30i16 14.I&:S4 Auprvd: Online <br /> 1 f t,t MOTE POS Inv 0: AVS Code: ZIP MATCH. <br /> 1826 ROOSEVELT BLVD ! � JAR Aar Cede: d3080C I <br /> tO6Ellt. OR. 97402.415Y 1 CUV2 Cede: MOT PROCESSE[�P <br /> 541 662-9812 ; APPS Vd: Online <br /> AVS Code: NO MATCH Il <br /> Ufi.�:U:•lfi 22:32:2`0 I agree to vac above total mount <br /> SETTLEMENT REPORTCVVS bode: MATCH M according to card issuer agreement <br /> (Merc <br /> hant agreement if credit voucher) <br /> Beth Num: 157 1 caccordi to gag above total ee en host Name: Elavon (Mlerchantiagreemg ko ent if credsuer itvojcher)Mer,hant.: 1 X <br /> Saps 2 f i'tlr`.86 � I ----�V_~_ <br /> Total tis - -_41- h <br /> Tula! 2 i 305.00 X Mer�Man1 Cony <br /> Settlesent Succe55fu1 TNar.c routs Lc <br /> (OOI( 15i6701013'LIMcrchei.t toPY 8/74n�AII( ruu! . <br /> 1-1 <br /> ;° <br /> v` 0• <br /> A OCt 3. 275.00 + <br /> Cornu fl, 30.00 + <br /> 002......... . <br /> n 05.00 <br />