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- ---7/0511-to ) <br /> L <br /> I .� <br /> . ,; F i. 1 . i Y.T1 <br /> ,.;';y;',77-- k F J T ! '� Frit r q' <br /> = t s S r r <br /> my if EIAf7F POS <br /> 'f 1828 ROOSEVELT BLVD 1 <br /> EUGENE, OR. 97402.4159 <br /> 541-662-4812O i <br /> i../31....91,0O• 1826 ROOSEVELT BLVD <br /> ai <br /> 0i.1S'16 22c32:O4 \ fUGEME. OR. 97462-4159 <br /> O 541 682 4812 I <br /> 1 TOTALS REPORT 112.35 + I <br /> y_j <br /> 00]...3,--0..• -\, a; 1 <br /> Elavon <br /> j Card Cot bale Promo luta! 112"353'* rT ,�° <br /> VI 2 195.66 0.0) 195.00 C 9 <br /> • <br /> XxxXXXXXXXXX601 <br /> NC 1 112.35 6.00 112.35 0 * ISA <br /> sale Iota!: $ 307.35 1 y.F Entry Method; Manual <br /> Total. $ 307.35 65.00 + Amo <br /> unt:$ 65.00 <br /> 001eee•e.••• : Tax: $ 0.00 <br /> � 65.04 Total: $ = ==-==65.00 <br /> 0• * {'/15/16 <br /> CITY of Euco+E POs �u,':'; 11:45:�2 <br /> 1820 ROOSEVELT BLVD (7,`, 1flV u; �J �d�2 APPr Code; 02��16f <br /> EUGENE. OR. 97402-41591 130.00 + APPrvd: Online <br /> 41-682-4812 <br /> 001 . AVS Code; ?IP MATCH 1 <br /> w.1,1121:32:32 130.03 CUV2 Code: M <br /> SEIMENT REPORT <br /> 1 agree toMArCH uar above <br /> tufa! amount <br /> Bald;M. : 167 0. * according to card issuer agree•ent <br /> Host Habit, Elavun (Merchant agreement if ceedrt voucher} <br /> Mernlant: 1 <br /> 35 + <br /> f 307.35 112• <br /> T • <br /> 6 T <br /> Tots! 3 t 307.'s5 <br /> 6500 + X / r � <br /> Settlement Successful li 130.00 + . 5./5 <br /> 4rr•thont Loci <br /> 100E !f;iU 160132 0030oeee•C •.•• <br /> ) 307.35 MAI* YOU! <br /> e4ril <br /> i <br /> CI1Y'M• Whitt POS <br /> 1 1820 ROOSEVELT MVO <br /> EUIiEHL. hR. 9!402-4159 11"Iq t1.;LHE POS <br /> • 641-632-4012 1826 '';LIT BLVD I <br /> �T s• i.m t04E111. V402-4368 <br /> ... 682-4812 i <br /> R ei- . T. 1 <br /> 'hone' Order <br /> xxxxxxxxxxxx4844 i One.::oli'°:;`r <br /> MASTERCARD Entry Method: Manual 1 xxxXXxxxxxx034 <br /> Amount:$ 112.35 UISA Entry Method: Manual <br /> Tax: $ 0.00 Total: $ 130.00 <br /> Total: $ 112.35 01/1516 11:20.E <br /> 83/15316 16:26:08 � Inv 0: 6000GO001 APPr Code; 06229C <br /> Inv a: 000000003 APPr Code: 660860 APPrvd: Online <br /> APPrvd: Online AVS Code: <br /> AVS Code: CVV2 Code: 1141CN M <br /> I agree to Pay above total amount I agree to Nay above luta} amount <br /> according to card issuer agreement according to card issuer agreement <br /> 1Merchant agreement if credit voucher) (Merchant agreement if credit voucher; <br /> t____Ea. 11.41-ft h'1114-- x OOOOO k---(`A.114 . 13. ru_aA-- <br /> Mtrd,ant CUPY Pat.44,4J1 + .'7 T1 rcheot CCPV 6 - i <br /> T11011K YUU' THANK YOU! <br />