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97713
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97713
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Last modified
9/22/2016 2:42:46 PM
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9/22/2016 2:42:45 PM
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6-1 --] 3 <br /> Clio OF LUGENC FOS <br /> 1820 ROOSEVELT BLVD <br /> EUGEtt., OR. 97402-4159 <br />• <br /> 541.682 4812 • <br /> 09.•12,15 22:. <br /> 101IS REPORT <br /> tlaVon 1828 NG�:�EVLL 1 Bt.* <br /> Mai*. :rlt. 14(402-41-,': <br /> cii t;-;2 4;112 <br /> Ca-d Cut Sole Promo Total R <br /> VI 1 75.00 0.00 75.61) ' <br /> Sale Iolal. f r.db • <br /> Total: 3 75.00 •hanek'i T <br /> • <br /> xxxxxxxxxxxx0717 <br /> VISA Entry Method: Manual <br /> total: $ 75.00 <br /> CiIY OF Flail UI PO5 <br /> 1826 k00,1011 BLVD 09/12/1616 f:04'04 <br /> LUtiENE. 6k. 91402-4159 :34 <br /> sal 6112 4812 Inv II: *mei Rear Code: 029532 <br /> 09•I l li. 22:12:31. Aaarvd: Online <br /> SETTLED' REPORT AVS Code: ZIP MATCH . <br /> CVV2 Code: MATCH I <br /> Banta Nuw: 203 <br /> Moet Name: Elavon <br /> Merchant: 1 1 aurae to aa:• above t Lal mount <br /> n <br /> accord.ng to card isxr:r asreemen1 <br /> Sales 1 i•„ U0 (Merchant ayreesrni. if creJit voucher} <br /> ria <br /> Total 1 V 75.00 <br /> Settlement Succe55fu1 X--- 4 --__ <br /> GlolK 20:09110132 <br /> Ilei.ha 1. Crag. Cl �. <br /> THAW Yfal! <br />
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