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<br /> /far-O6-0)3 03:25am From- T-6T2 P.002/002 F-930 <br /> ' ~ ~ 4s12176eaa3 <br /> ' ~ ' ~ CENTRAL PRINT & RLLl~PR I NT <br /> r ' 47 WEST 5TH <br /> ' ~ ~ EUGENE , OR 97401 <br /> . 541-342-9624 <br /> • ~~MERCHANT 8139 387130022748 001 . <br /> DATE : 04/07/08 03115 PM <br /> ~CUST REF#; 198x13 ' <br /> ~ ~ ACCOUNT XXXXXXXXXXXX6770 <br /> TYPE: MASTERCRRD <br /> ' ~ : REF # 13 GE <br /> . ~ ~SATCH 098001, <br /> RUTH:#t ~ ..035590:.'. ~ ~ . <br /> SF~LE $ 84.81 <br /> ~ <br /> I AGREE TD PRY THE ABOVE TOTAL AMOUNT <br /> ~ ~ ACCORDING TO THE CARD ISSUER AGREEMENT. <br /> . ~ (hIERChANT ~GREEMEN~.IF CREDIT!VOUCHER)~ <br /> ~ ________r. <br /> SIGNATURE <br /> iTOP COPY-MERCHANT BOTTOM-COPY CUSTOMER <br /> • I . , <br /> I <br /> i <br /> 04/07/2008 MON 15:33 [TX/RX NO 9361] f~002 , <br /> <br />