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/ ( <br /> X / 1 `1— � <br /> / � � � ('1 <br /> CITY OF FUGUE POS <br /> 1820 ROOSEVELT BLVD CITY OF EUGENE POS <br /> 541 6v1- <br /> EUGENE. OR. 4812 812 9159 1820 ROOSEVELT BLVD <br /> 9 <br /> 02/13/17 EUGENE.41-66682-4812 9153 <br /> 22:32:01 <br /> 1O1ALS REPORT REPRINT- ... <br /> Elavon • Phone Order <br /> Card Cat Sete Promo Total <br /> VI 1 40.00 e.•s 90.00 XXXXXXXXXXXX3193 <br /> Sale Total; 90.00 VISA Entry Method: Manual <br /> Total: $ 40.00 <br /> Total: $ 40.00 <br /> 02i13'17 15:33:13 <br /> �/1j1 Inv 0: 000000001 Appr Code: 035145 <br /> p\ Apprvd: Online <br /> CITYA— 118220 ROOSE�TEBLVVDD AVS Code: �� <br /> EUGENE. OR. 97402-4159 CVV2 Code: MATCH M <br /> 541-682-4812 <br /> 02/13/1? 22:32:15 I agree to Par above total amount <br /> according to card issuer agreement <br /> SETTLEMENTREPORT (Merchant agreement if credit voucher) <br /> 8;t..h Num: 254 <br /> ( ) <br /> Nott Hama: El4vun xi p- -Y ia/� <br /> Merchant: 1 ---- <br /> Sale : 1 $ 40.00 <br /> G�1T 'MEM Merchant CCPV <br /> Total J $ 40.00 IRAN(YO01 <br /> Settlement Successful <br /> 0801< 25402140132 I <br />