err <br /> w <br /> \‘C) <br /> OTT'! O VTI POS1820 ROOSEVELTEVELEIT BLVU 80.00 + <br /> EUGENt. OR. 97402-4159541 68[481222:52:Q(7 <br /> 001 o a o 0 o s o a e o 0 0 0 <br /> 6.13:168000 <br /> TOTALS REPORT i <br /> Elam <br /> ord Ent Sate Prow) Total <br /> MC 1 80.00 O.OG 80.00 <br /> Sale lutal: `'4.1 MI <br /> Total: $ 80.00 <br /> i <br /> LITY in EUGENt_PUS CITE q EUGENE POS <br /> 1GEN POOST4 2-41 1620 NOf:EMIT BIVU <br /> EOGEN541-682-4812 OR. 9!12 4159 tI1G28 Oft. 97442.4159 <br /> • 541-682 4812 <br /> ' so <br /> Wil 1,16 \' <br /> '1'L:31:14 <br /> SETTLEMENT REPORT lphone rder <br /> Balch N.w� 165 <br /> Host <br /> Merclant: 1lavon XndXXXXXXXXX7747 <br /> .UI WEN EntrY Method: Manual <br /> bele. : 1 -OI <br /> Total on. : 9 f 80.00 80.00 <br /> I AmOuil t <br /> Settlement Sui40l32ul Tax: $ 0.00 <br /> GBi1F 1656714U132 --_- <br /> Total: 80.00 <br /> 0/13/I6 10:36:01 <br /> Inv u: 000000M Hpnr Code: H31660 <br /> tpprvd: Online <br /> AVS Code: ZIP MATCH 1 <br /> CW2 Code: MAIM M <br /> • <br /> I agree to Par above total mnvunl <br /> according to card issuer avrecment <br /> (Merchant agreement if credit vo her) <br /> _ _PA k— <br /> r,,,,,, <br /> 5...:1-, va,i--tr, <br /> 62 uIAliK YOU! �� i <br />