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<br /> EUGENE, OR. 97402-4159
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<br /> CITY Of EUGENE POS 541 682 4812
<br /> 1820 ROOSEVELT 8LVD 1820 ROOSEVELT BLVD
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<br /> 0 rify' Phone Order -I'
<br /> Phone Order * Phone Order pommum7187
<br /> MASTERCARD Entry Method: Manual
<br /> 11 xxxxxxxxxxxx6S8 xxxxxxxxxxxx6903
<br /> VISA EntrY Nethod: Nanual VISA EltrY Methcd: ilarual Total: $ Eii?.44
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<br /> Total: $ 114.50 Total: $ 423.92 . OS/30/16 14:16:51
<br /> 6/30/16 1S:138:06 09/30/1614:14:34
<br /> Inv U: OgOoppoo6
<br /> APPrvd: Online APPr Code: 61036Z
<br /> Inv tl: 000000020 APPr Code: 014239 Inv if: 000000004 APPr Code: 002919 AVS Code:
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<br /> AVS Code: AVS Code: I
<br /> , I agree to oar above total amount
<br /> CVV2 Code: NOT PRESENT S CVV2 Code: NOT PRESENT S i according to card issuer agreement
<br /> (Merchant agreement if credit voucher)
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<br /> I agree to Par above total amount
<br /> I agree to Par above total amount '_
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<br /> according to card issuer agreement
<br /> according to card issuer agreement
<br /> (Merchant agreement if credit voucher)
<br /> (Merchant agreement if credit voucher)
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<br /> THANK r
<br /> THANK YOU!
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