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I <br /> J4J-e1C I S ,�5 11CITY OF EUGENE POS <br /> 1'd20 ROOSEVELT OLVO <br /> CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD / SCYPPEUGENE• OR. 97402-4153 <br /> 81.2 <br /> EUGENE. OR. 97402-4159 ` i <br /> Phone541 682.4812 Order <br /> �se.../...0.7 <br /> phone <br /> Phonerder zzxzzzzzzzz4599 <br /> zzzzzzzzzzzz8106 rASTERCARO EntrY i!ethod: Manual <br /> VISA Entry Method: Manual Amount:$ 151.88 0 <br /> Total: $ 1$4.00 Tax: ____=_= <br /> 14:48:48 Total: $ 151.85 <br />• 10/01/16 <br /> Inv 0: 000000001 pppr Code: 075121 15:08:30 <br /> AVSrCoOnline 10/01/16 AAS Code: 084:65 <br /> d Inv u: 0008",,8 <br /> AVS Cod• <br /> CVV2 Code: NOT PROCESSED P • AVS Code:Apprud: Online �'�'r`jt <br /> ;) <br /> I agree to oar above total amount <br /> CU5t a: 5120 P'c'edi'`Im <br /> according to card issuer agreement <br /> (Merchant agreement if credit vouched I agree to Par above total amount <br /> according to card issuer agreement <br /> �Q (Merchant agreement if credit voucher) <br /> Merchant COPY <br /> THANK YOU! Merchant COPY <br /> ( THANK YOU! <br /> • <br />• <br /> • <br /> 0• <br /> 172.37 + <br /> 113.40 + <br />• 78.39 + <br /> 91•p7 + <br /> 227.36 + 1820 ROOSOF EUGET BLVD. <br /> • <br /> 276.00 + EUGENE. OR. 97402-4169 <br /> 7492 4159 <br /> 54122:'32:04 <br /> 154.00 + 10,07,16 <br /> 151.38 +__ TOTALS REPOT <br /> 0060,70 <br /> • <br /> 1,29c;.47 Elauon <br /> Sale Promo <br /> Total <br /> t- 41/1- :, Card Cnt 0.9 <br /> VI ------6---1 .19 0.00 1029.19 <br /> MC 2 265.28 0.00 265.28 <br /> $ 1.294.47 <br /> • <br /> Sale Total: $ 1.294.47 <br /> Total: <br /> a <br />