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i —7/d_,p, /IL; <br /> . ,„„„, , , <br /> ;yz <br /> CIPY Of EUGENE POS <br /> • <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 CITY OF tUtt.NC PUS <br /> 541-602-4812 i 1420 ROOSEVEL1 BIND <br /> 07,2246tuGE1F. UR 97402-4159 <br /> 2Z:32:U4 541 682-4812 <br /> TOTALS Kill , <br /> REPRINT <br /> Elavon Phone Order I <br /> Cad tot Selo Provo Total <br /> VI 2 130.00 0.110 130.00 xzx xxxxxxxx3866 <br /> Sale luta!: 13d.oe VISA Entry Method: Manual <br /> Total: $ 131300 <br /> Total: $ 25.00 <br /> i 01/22/16 88:42:21 <br /> • <br /> �� `� • Inv II: 800880081 pAPr Code: x20961 <br /> APPrvd: Online i <br /> 1820 c!rY UI Walt Pus AVS Code: <br /> EUGENE xOR.V97402-415 CVY� Code: MICR M <br /> 541-602-4812 <br /> CITY 111 EUGENE POS <br /> 1820 ROOSEVELT B1V <br /> EUGE1*. W. 974b2-4 9 <br /> Ui,21/1t <br /> ?2:32:31 I agree to Pa, above total aaomnt 541 682-4812 <br /> 7 Liaccording to card issuer agreement <br /> SETTLEMENT REPORT <br /> T (Merchant aereerent if credit voucher! a •RINT <br /> o <br /> Balkh Moe 1.72 u �1 <br /> ht1,1 Rare: El�wn A__ L tiA�lii <br /> lkr,hanl: 1 "' <br /> %ales 2 l�l�j <br /> 'e un.s b 1,. Liu 11er�lwut COPY �� XX.(XXXIUXXXX2SZB <br /> Total2 I1U'm, VISA Entry Method, "!anal : <br /> $ <br /> THANK YOU! <br /> Settlement Successful Total: 105.U0 <br /> Wt l W..'3b132 <br /> ,x �a 0 15:51:32 <br /> inv u: 000000002 APPr Code: 291153 1 <br /> APPrvd: Online <br /> AVS Code: :IP MATCH <br /> t <br /> �� <br /> CVU2 Code: MATCH M <br /> N' <br /> 25.00 + <br /> 1 agree to pay above total -. . nt <br /> - � 001 according to card issuer eement <br /> 25.00 * . I Merchant agreement if credi; voucher) <br /> • <br /> ��:\`� 3 <br /> rkr�l�,nl CJPY <br /> >' } aQ 105 00 + THAW Y1*Ir <br /> 001...me. ... <br /> 05.00 * 1 4 <br /> , <br /> 0• * <br /> 25.00 + <br /> 1 •00 + <br /> 002... ... ,. <br /> ,��, 30.00 <br />