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S <br /> • <br /> , • <br /> - • <br /> r ; - <br /> cm EU6EVE FOS <br /> 1820 ROOSEVELT BLVD <br /> • <br /> ELME. OR. 97402-4158 404 <br /> 541-682-4312 <br /> CII7 UF LteirE PUS <br /> 09,046 • 22:32:00 <br /> Dad ROOSEVELT BLVD <br /> EUGENE. OR9?402-41b9 <br /> TOTALS REPORT .541 682-412 <br /> 1111111111=Rfallag <br /> Elavon <br /> Card Cnt Sale Promo low <br /> ----------------------- <br /> nc 1 335.00 OM 3TS.60 <br /> 335.00 - <br /> Sale lotal: unxxxxxxxx0221 <br /> 335.00 <br /> Total: <br /> MASTERCARD Entry Method: Manual <br /> Total: $ 335.00 <br /> Rt6 89/07/16 15:48:48 <br /> Ck147 UPI OF Mkt(POS <br /> 1820 ROOSEVELT BLVD Inv 4: 40010631 <br /> APPrid: Online APPr Code: 816059 <br /> 7.-,- <br /> EUGEtrE. OR. 97402-A15D <br /> 641-68'2-4812 AVS Code: <br /> CW2 Code: MATCH M <br /> 08.-07,16 22:32:14 <br /> SETTLEMENT REPORT agree to Par above total aaount <br /> according to card isguer agreement <br /> (Merchant agreftent if credit voucher) <br /> Bat:E.11..o: 200 <br /> Haat Name: Elavon <br /> M,rchant: 1 <br /> Lp.6 d-Q DP-1 <br /> or. <br /> • r•s <br /> r . <br /> • •••'t' •• • ' <br /> • <br /> • • <br />