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96777
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96777
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Last modified
8/16/2016 11:59:35 AM
Creation date
8/16/2016 11:59:34 AM
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• <br /> CITY OF FUGE!t POS <br /> Cll'i Ut EUIEtit. ' - 1820 ROOSEVELT BLVD <br /> 132'ROUT i EUGENE. I . 97402-4159 <br /> El1GE1 Mt-682.4812 <br /> REPRINT <br /> Refund <br /> xx • xxxxx7754 Phone. Order <br /> 'dISA et od; Manual ; xxxxxxxxxxxx9173 <br /> Total: $ 190.00 <br /> VISA Entry Method: manual <br /> 08 1546 98:57:58 Total: $ 55.00 <br /> Inv I!: WW1 98/15/16 14:14:25 <br /> Upprvd: Online • <br /> Inv I: „! gppr Code: 032333 <br /> Apprvd: Online <br /> I agree to nay above total amount AVS Code: ZIP HATCH Z <br /> (I! <br /> according to card lsaue <br /> er agrement oy� <br /> erch4nc agreement if cr;dit ,cuchcri CW2 CrodPATCH M <br /> C9 --- 1 agree tU Nay ai:UVC total dm(aint <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucheri <br /> Merchant Cow/ fiL30 <br /> THIN( YOU! V <br /> torch-,n1 I:0102—A <br /> Hoar+~ <br /> MO! <br />
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