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g 2q (Ho <br /> 0( ) <br /> C I 11'1p i t:u1lIL FOS <br /> 11M5IillltSLVLIi BLVD <br /> I i1V Ik tOuLIIb ?OS Lll(x.NE. Ok. 97402.4159 <br /> 1320 NOtaVa I BLVD 541 d32.4:112 <br /> 1.06Etit. u294312 41h9 <br /> 641 6 <br /> 111111111MMUMMINE <br /> tra.24:to <br /> i01RLS RC?-RT <br /> 'hone-Order <br /> Elam xxxxxxxxxxxx9147 <br /> MASTERCARD Entry Method: Manual <br /> Cut Sal. Promo total Total: <br /> -i -1-S.00 0 tiO 105.00 a� <br /> 105.00 <br /> Los:ale'iotdl: y los oo <br /> 10(41: '"� 06'2416 11:42:36 <br /> Inv u: 000W0001 A,PPr Code: 010974 <br /> • APPrvd: Online <br /> RUS Code: ZIP REICH Z <br /> \� CUU2 Code: MATCH M <br /> t'jtk UA'Lli FOS <br /> V_1\d 1B2Btllr RD(ratVEL1 BLVD <br /> IOfiEtd• OR. 97402-41b9 i corer to oar adis total amount <br /> 541-68:.4M12 according to card iswer a�reemea! <br /> (Merchant agreement +f cred+t 4tmert <br /> .2 _ <br /> >2 <br /> 22,42 .•; <br /> 9 <br /> ON:4/16 <br /> SE1ilE1 N7 REARI X W2-1 <br /> ate— 6-444(cist. <br /> Bdl.I+lkm:• 1 <br /> 110y1 HMO% Llavon its-h,4.t(•l t <br /> Meiclwnt: 1 111FI+ri YOU! <br /> 165.Ug <br /> Sala+ 1 !�55 <br /> iutal4 <br /> 1 <br /> $ 10`5 BO <br /> Settlement Sucte55ful <br /> 5U fl -m06.45002 <br /> • <br /> 11 '3-) <br /> 04)2)11/41 0 + <br /> 001....0.0 000.. <br /> 4\4 105.00 <br />