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CITY OF EUGENE POS <br /> CITY OF EUGENE POS 1 1820 RuOSEVELT BLVD <br /> 1820 ROOSEVELT BLVD <br /> j 1 EUGENE. OR. 97402-4159 <br /> EUGENE. OR. 97402-4159 41 682-8812 <br /> 541682-4812 <br /> 01/30/17 22:32:03 Phone Order <br /> TOTALS REPORT J <br /> xxxxxxxxxxxx8549 <br /> Elavon VISA Entry Method: Manual <br /> Card Cnt Sale Promo Total 1 Amount:$ 400.00 <br /> VI 1 400.00 0.00 400.00 I Tax: •$ <br /> 0.00 <br /> Sale Total: t 400.00 <br /> Total: $ 400.00 Total: $ 400.00 <br /> O1/30/17 08:51:56 <br /> Inv a: 000044441 Appr Code: 052069 <br /> ``� Apprrd: Online <br /> AVS Code: ZIP MATCH 2 <br /> CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD CVV2 Code: MATCH M <br /> EUGENE. OR. 97402-4159 <br /> 541-682-4812 Cu5t II. 709 <br /> I <br /> 81/30/17 22:32:16 <br /> I agree to Par above total amount <br /> according to card issuer agreement <br /> SETTLEMENT REPORT (Merchant agreement if credit voucher) <br /> Batch Hum. 245 <br /> Host Name: Elavon <br /> Meraant: 1 �___�` "AtPjf / <br /> Salts • 1 $ 400.00 ' <br /> S <br /> Total 1 <br /> $ 400.00 Merchaid COPY <br /> t llld.e„1 try moc!ui THANK YOU? <br /> City of Eugene <br /> Public Works Maintenance I_._ <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard `� <br /> Eugene, OR 97402 <br /> Tele # (541) 682-4800 Eugene <br /> Fax # (541) 682-4882 <br /> RECEIPT <br /> Date \ ' ? C)' • t -.1— <br /> From`,S A; 2-.t-k\..1 C_ )ZP`D cT` �-NC� I N r�)).----_-<:- <br /> Address <br /> City/State/Zip <br /> Quantity Description Amount <br /> ti <br /> INI,; ) Cc ' - -0 'x - 11 <br /> TOTAL <br /> Payment: ❑ Cash ❑ Check# redit Card <br /> Received by C�~ v j <br /> 1 <br />