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\t a� <br /> 7 �xYX� V\\� tl rr Ut fOlith PUS <br /> 1820 ROOSEVELT 61Cl1Y Of E1X4NE POS <br /> \ _ .W 1b20 ROU:EVELT BLVDJJJ�����\ ttPElk. OR. 976102 4159 EtlW E. OR. 9;402-4161 <br /> 541-682.4812 541 682 4812 <br /> • . .4-1..RINT •EPR NT <br /> i 1/r nµ EUGENE POS ` <br /> tr.2U ROOSEVELT BLVD a i ,. ' 'hone 'Order • <br /> to.iElt. OR. 9:402-4159 honk' d'-der <br /> • <br /> 541-set-4di2I . <br /> �pn <br /> Ur,1-I.l.b t 3t:87 XXXXXXXXXXXX3866 xxxxxxxxxxxx6784 <br /> 2' <br /> iOiRLS REPORT VISA Entry Method: Manual . MASEREntry Method: Manual <br /> flagon Total: $ 25.00 Amount:$ 25.00 <br /> $ <br /> Card till nl Sale ProTotal <br /> 6?i14i16 14:26:51 i Tax: 0.00 <br /> 1)1 2 115.00 0.00 115.01, ! Inv H: !1 ,',, Pur Code: 561289 Total: $ 25.00 <br /> iC 2 SU.430 •.00 Su.00 • P rvd: Online 07/14/16 15:09:40 <br /> Sale I°tat: AVS Code: ?IP MATCH Z <br /> Total: $ ice:oe Inv UIIOOOO4 <br /> : , Appr Code: 01444C <br /> CVV2 Code: MATCH M Apprvd: Online <br /> I agree to Pay above total amount AV�SMCode. ZyI�P MATCH 2 <br /> according to cord issuer agreement CVV2Code: MATCH M <br /> (Merchant agrermeai if credit voucher) <br /> � i agree to Nay above total -- � nt <br /> CITY OF EUIEIIL PUS y �� ��� � _ according to card issuer cement <br /> 1820 kOUSEVELT 61NO A_. �Y_ _ (Merchant agreement if cred( voucher) <br /> EUGENE. OR. 97402-4159 <br /> 041-682 4812 <br /> Merchant Copy <br /> 07,14•1t 22:33:12 TFW(R YCXt! x---- .147-a"`-- <br /> SETT1EMEfJT REPORT i Merchant coagj <br /> Batch Ms: I66 Tt1AM( YOU! <br /> �� <br /> Ilosl Name: Flagon ! 1 <br /> Merchant:)ant: 1 J <br /> SaI<e 4 $ 165.00 <br /> Total q : 165.00 ss `��,. 0• * <br /> Settlement Suae55{ul , <br /> WON 16607150133 ! 25.00 + <br /> 25.00 + CITY OF E(X;ENE 1: <br /> 1828 ROOSEVELT 8 <br /> 002; L' • <br /> 0 0 o a o o - - e�.e a <br /> way. OR. 97402- 59 <br /> illi to Want PUS <br /> 50.00 ' 541-682-4812 <br /> • <br /> IEROOSEVELT 1 REPRINT • <br /> EUGENE.E. OR. 97402-4159 4159 <br /> 541-682.4812 <br /> - NeD 0• * <br /> REPRINT . V Phone Ord T. <br /> ''I •0 + XxxXxxxxxxxxO557 <br /> Phone: Order 001....... <br /> VISA Entry -thod: Manual <br /> xxxxxxxxxxxx5528 90.00 <br /> MASTERCARD Entry Method: Manual Total: $ 90.00 <br /> Amount:$ 25.00 0' * 0744/16 14;43:28 <br /> Tax: $ 0.00 ; \ Inv if: ,',>>00@3 <br /> Apvrud: Online fpr Code: 014669 <br /> Total: $ 25.00 ' 001.a.e..(2._5. 1- <br /> ea.. AVS Code: 1lP MATCH 2 <br /> 024446 08:3S:O6 5.00 * CVV2 Code: MATCH M <br /> Inv a: N,j,,:::1 Or Code: H86061 * I agree to Pay above total amount <br /> A+�rud: line 0• according to card issuer agreement <br /> j (Merchant agreement if credit voucher) <br /> AVS Code: <br /> CVV2 Code: MATCH M 50.00 + <br /> 90.00 + L? 10 J0c <br /> I agree to may above total amount 25.00 + <br /> according to card issuer agreement • Merchant Caw <br /> (Merchant agreement if credit voucher) 003' ''•a <br /> 165.00 THAW YOUt <br /> x,..5-ir,fsg. Sk,,,,, - .- . <br /> I <br /> n<r,I:aoE Carr <br /> MAW /MAWYOU/ 7/21 <br />