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95634
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95634
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Last modified
7/7/2016 9:39:22 AM
Creation date
7/7/2016 9:39:21 AM
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PW_Document_Type_ Operating
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4,6609A , 7/ i/(6 <br /> ., ...i <br /> (:II'!Of flalif FOS C11 uA [(Witt FOS',:: Cl1Y (11 Wadi POS I <br /> 1821 ROOSEVELT BLVD Idtu ItO:i EVFIf BLVD-.; 1821 ROOSEVELT BLVD 1 <br /> ELAINE. OR. 91402-4159 IoGEN1, Ltt. 974U2-4159 t{+- EUGENE. UR. 974152-4159 <br /> 541 682 4812 541 68'L 481' -`•tit.. <br /> 541632-4812 <br /> 113`; U7.01 X16 22:32:04 ' PRINT REPRINT <br /> TOTALS REPORT <br /> OM ' 'hone s rder Phone Order <br /> XXXxxxXxxXXX 11't <br /> L's zzzzzzzzzzzx5310 <br /> J Cot Sale Prom Total VISA Entry Method: Manual <br /> VI 3 86.00 0.00 88.811 VISA MASTERCARD Entry Method: Manual <br /> lc 1 411110 6.60 40.00 Total: $ 25.00 <br /> Total: 40.00 <br /> 6'`` Total: f 120.>6 07/0116 14:39:51 10:16:29 <br /> fpr Code; 1'5220$ 07/01/ 6 <br /> Inv u: ��,; ; Inv U. 000000001 Aper Code: 03345P <br /> ApPrvd: Online = pcprad: Online <br /> AVS Code: EXAC MATCH''I AVS Code: <br /> ����� CVV2 Code: MATCH M <br /> �A3''; AVS Code:e: MATCH M ' <br /> :.,, CIIY Of Walt FOS i <br /> 1820 ROOSE. OREVELT BLVD I agree to PaY above total amount I agree to P3Y above total amOUl'•.0 <br /> t`��1541 68294812 41 9 (Maccording to card erchant avreeme t ifscreduer itrvotcler) according to card issuer agreement <br /> (Merchant agreement if credit voucher/-+� <br /> U7�d1 16 22 32:3s 1/1b, <br /> ---- - - <br /> SETTIEINT REPORT X--------------------------- - X %�'� 4.1--- <br /> Balch Ihmr: 158 Merchant.COPYu <br /> Host Nage: Clown Merchant co,,, <br /> ik <br /> Merchant: 1 YOU! () <br /> ! MIK VVW! x 4 'I, <br /> • , <br /> Sales 4 $ 121.111 <br /> Total : 4 $ 120.0 . <br /> Settlement Successful <br /> GBuK 15z37020132 <br /> CITY Of EU(iCHE FUS 1 <br /> 1820 kOUSE'JEL1 BLVD <br /> 1u6EM.. (A2. 9•!4U2-4159 - (JAY a t.WCNE FUS <br /> 541 632.4;1'2 1820 ROOSEVELT BLVD <br /> +.. 'RINS' EWE*. OR. 97402-4154 <br /> ilf t 541 682-4812 <br /> REPRINT . <br /> xxaxxxxxxxxx3449 ' 'hone- 1i-der <br /> VISA Entry Method: Chip zzzzzzzzzzzz5544 <br /> Total: <br /> : $ 40.00 VISA Entry Method: Manual <br /> .\ 07/01/1614:56:11 Total: $ 15.00 <br /> ��v� 0• * Inv u: 000000003 Aper Code: 611065• 07/01/16 16:45:46 <br /> Aaprud: Online Inv u: Ob0000004 Appr Code: 144051 <br /> 40.00 + • Apurud: Online <br /> � <br /> ` C 40.00 + Visa Credit <br /> AID: A00060031010 AVS Code: ZIP MATCH <br /> V 15.00 + TVR: 80 80 00 80 00 CVCode: MATCH M <br /> 25 + ISI: 78 00 <br /> 004.....- ----- 1 astree to Pay above total amount <br /> �] according to card issuer avreemrnt <br /> 120.00 * 1 agree to Pay above total amount (Mer ant agreement if creoit vouchk i <br /> according to card issuer agreement �.,n <br /> ......k.A1: <br /> (Merchant agreement if credit voueheri <br /> • <br /> ---12e0 g'`+.' i 1 °I nEr chant cuPY <br /> I I rIR I C.HS.'RULA NI <br /> h SHAM( VOW COPY b <br /> THAN(70U, <br /> z1i ` y <br /> .�(.. � w 4r � <br /> . }v r .h 511 ' 1y/,[f+Ar,4`dl- �,-.c '.0,:' t x 4 :14 <br /> u <br />
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