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96521
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96521
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Last modified
8/8/2016 10:41:50 AM
Creation date
8/8/2016 10:41:49 AM
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PW_Document_Type_ Operating
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4--.21_221___, <br /> f 1-1 (i (0 <br /> t1IY Ot tUldliE POS <br /> ' <br /> 18211 RU;SEVELT BLVD ClfI W m i.f <br /> (r I Y tif LU6(NE POSLU.Ll1.. OR. W402"4153 ;?U ntilr f,fr•Pu. i lROOSEVELTL�4• 541-6it•4812 (!"2rR.. nii 'i ,;, ) tkiW <br /> ,1 <br /> .41 6ie.48)t ,l , <br /> 541-682 4812 <br /> 08,84:16 22:32:01 <br /> TOTALS REPORT <br /> Elavon >,° '",„t; .. <br /> � ---�_ 'hone Order <br /> Card C.L Sale Promo Total Xxxx,XXxxxnx 7x51 i XxXYXXXXnXXX4107�1 <br /> aT 3 :ibu.i111 0.811 360.011 VISA Entri Method: Manual VISA Entre Method: Manual <br /> S.A.., total: $ 360.011Total: 360.00 Total ; $ 205.00 Total: $ 65.00 <br /> 0804/16 <br /> 15:1219 06.r94/16 15:51:19 <br /> Inv N: 606660062 APPr Code: 979588 Inv u: :; 3OPPr Code: 63746B <br /> ��,\ Awed: Online Aonrvd: Online <br /> •tib +I I v tt��1.POS AVS Cock: AVS Code: ZIP HATCH Z <br /> LI*EI& O �9 a02-9159 I CVV2 Code: 1A1C11 M CVV2 Code: MATCH M <br /> 541 C82-4812 <br /> I agree to N.9, aL••:>e t,gal amount I aaree to oar stove Lola! amount <br /> 08,04.'16 2t:32:17 according co ca,,l issuer agr•eemert according to card issuer avree.ent <br /> (Merchant avre.ment if credit voucher) ! (Merchant agreement if credit voucher) <br /> SEITLEMENT REPORT CApiati <br /> Bey;h lium•jye: 181 { '\ y�� V h(V Qi✓si ✓IIiL I r N <br /> Bak Maws: 18avon h- J _..+ <br /> MercLant: 1C L�'^^ <br /> I.1va 4 360.00 H.,.I::,ni COPY <br /> /lYJ <br /> Total 9/50 iiW i' %to a SeS$1 Tim( YGU.m 9 / <br /> Satle!rleot Successful <br /> IiROBB 18108E601:12 <br /> I.IIY II L04HE PUS <br /> 1826 R(i(SLVLI T BLVD <br /> (:llCd:lt. OR. 97411?-41St' <br /> 541 66 1812 <br /> tk,ti 4.0'\ o. * : REP•INT <br /> t. <br /> IP <br /> Off" 205.00 + -• Br-� r <br /> 90.00 + xxxxxxxxxxxx5086 <br /> 002.'o o a e e o 46041 VISA Ec!try Method: Manual <br /> 295.00 <br /> • <br /> 0. * 98/94J16 19:08:52 <br /> Inv A: !=1. (far Code: I 52 <br /> fe,t ' ,' 1 65. a Annrvd: Online i <br /> • <br /> 001.0...0. AVS Code: UPC 44TCH Y <br /> 65.00 1 CVV2 Code: MATCH M <br /> i <br /> 0• * 1 agree to nay above Lotai amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> 295.00 + 1i i . <br /> X _,0 ittuit R6 /n Ati <br /> 002a•��e.....„ <br /> • <br /> Merchant CuPY 1 2-1 <br /> •CO(�• iHAI(h Y(lu! <br /> 1 <br />
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