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I <br /> CITY OF EUGENE POS CIiv OF EUGENE POS <br /> 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD CITY OF EUGENE POS <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97402-4159 1820 ROOSEVELT BLVD <br /> 541 682-4812 541-682-4812 EUGENE. OR. 97402-4159 <br /> n 541-682-4812 <br /> REPRINT 11/10/16 22:332:01 <br /> TOTALS REPORT REPRINT <br /> Sale Elavon Phone Order <br /> zzxzxzzzxzzz25Z6v zzzzzzzzzzzz88S4 <br /> MASTERCARD Entry Method: Proximity Card Cnt Sale Pro4#110 <br /> VI 2 40.00 0.00 UISA Entry Method, Manual <br /> Total: $ 105.00 Mc 1 105.00 0.00 105.00 Total: 20.00 <br /> 14;3@:06 Sale Total: <br /> $ ias:ee <br /> 1ir19'16 <br /> Inv a: 0000, X03 APPr Code: H73577 1119/16 13:18:16 <br /> Inv a: 00'4=2 APPr Code: 510181 <br /> • Ruprvd: Online AaPrvd: Online <br /> I agree to Pay above total amount AVS Code: ZIP MAICH Z <br /> according to card issuer agreement CVV2 Code: MATCH M <br /> (Merchant agreement if credit voucher) CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> EUf,ENE. OR. 97402-4159 <br /> A �� l�' r 541 682-4812 I agree to van above total amount <br /> VY-N� � according to card issuer agreement <br /> - I 1 atti131(\ <br /> (Merchant agreement if credit voucher) <br /> /1,10,16 22:92:15 <br /> Merchant Copy <br /> THANK YOU! SETTLEMENT REPORT K--,41477_ c.(41 Ib th <br /> Batch Num: 221 <br /> Host Name: Elavon Ka,( .,a( <br /> Merchant: 1 Merchant coon <br /> Sales 3 $ 145.00 THANK YOU! P (Z <br /> Refun.s : 0 g 0. C <br /> Total 3 $ 145.:. <br /> Settlement Successful <br /> GBOK 22111110132 <br /> . 1\-ar\eilk -°"; —1-at fr-1111 <br /> 0, ik,4-. PGut- (,(A- (ie ci-- <br /> ( JJi•. t2-(''' 2 <br /> ink_ <br />. r. KitkoA) --(--. tue-rf <br /> , , <br />, . . <br /> \ - -i---A$4. '..' (&) <br /> 1 <br /> .. <br /> 4-4 <br /> ....c..., kovs.....ire <br /> c( a.......-n,..6-44-(24-- <br /> . If 9-0 — <br /> aij <br /> • 0_ <br /> ml <br /> • 11 <br /> 311 <br />