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100437
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100437
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Last modified
1/17/2017 8:36:01 AM
Creation date
1/17/2017 8:35:59 AM
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PW_Operating
PW_Document_Type_ Operating
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CIT"01 EUGENE POS CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97462-4159 <br /> 541-682-4812 541-682-4812 <br /> - REPRINT REPRINT <br /> Phone Order Phone Order <br /> xxxxxxxxxxxx?216 xxxxxxxxxxxx36?9 <br /> VISA Entry Method: Manual VISA Entry Method: Manual <br /> Amount:$ 37.45 Amount:$ 37.45 <br /> Tax: $ 0.00 Tax: $ 0.00 <br /> Total: $ 37.45 Total: $ 37.45 <br /> 0111/17 10:50:36 0141117 13:35:36 <br /> Inv a: ws,,: 6 Appr Code: 603734 Inv b: 800000020 ANY Code: 077738 <br /> APPrvd: Online APprvd: Online <br /> AVS Code: !; AVS Code: <br /> CVV2 Code: MATCH M ' CVV2 Code: MATCH M <br /> I agree to oar above total amount aI agree to Pay above total amount <br /> according to card issuer agreementaccording to card issuer agreement <br /> (Merchan reement if credit voucher) (Merchant cement if credit voucher) <br /> I r <br /> Mer Chant COPY Merchant Cop, <br /> hails '10.11 IIi.Je. Y...., <br /> iti <br /> ir <br /> CITY OF EUGENE POS CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD 1 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97402-4159 <br /> 541 682-4812 541-682-4812 <br /> REPRINT • REPRINT <br /> Phone Order . Phone Order <br /> xxxxxxxxxxxx0817 xxxxxxxxxxxx8404 <br /> MASTERCARD Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 37.45 Total: $ 37.45 <br /> 01/11/17 11:31:10 01/11/17 13:34:45 <br /> Inv a: s:;cs:, 7 APPr Code: 033181 Inv H: vm19 APPr Code: 002544 <br /> Apprvd: Online APprvd: Online <br /> AVS Code: AVS Code: <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to Par above total amount I agree to Par above total amount <br /> according to card issuer agreement according to card issuer agreement <br /> (Merchant • cement if credit voucher) (Merchant agreement if credit voucher) <br /> Merchant CoPY Merchant COPT <br /> T)•1;4. r;iil <br /> 11.4a. I Hi, <br /> 1 <br /> ;*Il '. '.'a.. +. :.- }A. lta - •'.w.Js•'.%,.,,„,4,,,,,,-;,1,, . 5 <br /> j <br /> ,yy 5 'Y <br />
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