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L,►rt-au•-- A-tex y <br /> e� S LIP 0,te, " `ter " ' U/ 4/' 441-682-4812 <br /> OF EUGEt POS <br /> ROSEVELT BLVDCITY OF EUGE POS . OR. 974x2 4159 <br /> 1620 ROOSEVELT BLVD CITY OF EUGENE POS <br /> EUGENE. OR. 97402-4159 1820 ROOSEVELT BLVD <br /> 541-682-4812 EUGENE. OR. 97402-4159 <br /> k 5c14p p 9a2 v�- � Phone Order <br /> Phone Order Phone Order xxxxxxxxxxxx2206 <br /> xxxxxxxxxxxx5887 .xxxxxxxxxxxx4O75 VISA Entry Method: Manual <br /> VISA Entry Method: Manual MASTERCARD Entry Method: Manual Total: $ 172.37 <br /> Total: 16 <br /> 78.39 Total # 1 3.40 10/07, <br /> 16 14:55:S6 <br /> 56 <br /> 10/07/16 14:54:14 10/07/16 14:55.00 Inv It: 0000m07 APPr Code: 302149 <br /> Inv a: ,,,0r,45 APPr Code: 47663D Inv 0: ,,,000006 Appr Code: 05021P APPrvd: Online <br /> Apprvd: Online Apprvd: Online AVS Code: <br /> AVS Code: AVS Code; CVV2 Code: NOT PROCESSED P <br /> CVV2 Code: NOT PROCESSED P <br /> I agree to Pav above total amount <br /> I agree to pay above total amount <br /> according to card issuer agreement <br /> according to card issuer agreement (Merchant agreement if credit voucher) <br /> I agree to Par above total amountaccording to card issuer agreement (Merchant agreement if credit voucher) <br /> (Merchant agreement if credit voucher) /�� ,, pp / •tD & 1 <br /> X i(( q10 -�` o ��Q LE} <br /> til-tc/la -&� ---- <br /> Merchant Cour Merchant Copy <br /> Merchant Curr THANK YOU! <br /> THANK YOU! <br /> THANE( YOU! <br /> Ck,Yi5 PoI r <br /> CITY OF EUGENE POS <br /> ,(11J�C � /� �v/1GE0 ROOSEVELT BLVD kg/11414m 6 Lri—f—e,' <br /> EUGENE. OR. 97402-4159 <br /> 541-682-4812 <br /> bCIIY OF EUGENE POS <br /> (-)/919 tti ° 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 CITY OF EUGENE POS <br /> PhoneOrder Sv541-682 4812 Y _/N,/� UGEN ROOSEVELT BLVD <br /> t�r77"" ��7{ ,u�®�p �G�• EUGENE. OR. 91402-4159 <br /> xxxxxxxxxxxx6219 v 1 2 2 <br /> VISR Entry Method: Manual Phone Or-clear- <br /> VISA <br /> rder �-cS ��� ���410 <br /> Phone Order <br /> xxxxxxxxxxxx9943 <br /> Total: $ 276.00 VISA Entry Method: Manual xxxxxxxxxxxx9605 <br /> 10/07/16 14:51:06VISA Entry Method: Manual <br /> Inv It: 000000002 Aper Code: 007308 Total: $ 227.36 <br /> Total: $ 91.07 <br /> Apprvd: Online 10/07/16 14:51:51 <br /> AVS Code: Inv It: „,„,.,,3 APPr Code: 04557C 10/07/16 14:52:34 <br /> CVV2 Code: NOT PRESENT S APPrvd: Online Inv 0: 00,,,0004 APPr Code: 070518 <br /> AVS Code: Apprvd: Online <br /> I agree to Par above total amount CVV2 Code: NOT PROCESSED P AVS Code: <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) CVV2 Code: NOT PRESENT S <br /> I agree to Par above total amount <br /> X.0_11—gc1® . 24700 accordtng re card issuer agreemeht <br /> (i 1/ (Merchant agreement if credit voucher) I agree to Par above total amount <br /> according to card issuer agreement <br /> ^ J^ /� (Merchant agreement if credit voucher) <br /> Merchant COPY X_0!l /O <br /> -��(r2 <br /> --- ----- --- yy � y(—� /� <br /> THANK YOU! l�_�___w <br /> Merchant Co <br /> THANK YOU! Merchant COPY <br /> THANK YOU! <br />