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101234
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101234
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Last modified
2/14/2017 9:17:50 AM
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2/14/2017 9:17:50 AM
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PW_Document_Type_ Operating
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--__ / (.) ( 05 Li <br /> CITY OF EUGENE POS • <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 4412 4159 <br /> 4 <br /> 22:32:07 s <br /> TOTALS REPORTCIIY OF EUGENE POS <br /> 1.820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> Elavon CITY OF EOCENE POS 541-682--4.812 <br /> Total 1820 ROOSEVELT BLVD RE R1 NT_ r- <br /> Saie Promo EUGENE. OR. 97402-4159 <br /> Card Cot 541-682-4812 <br /> 7. <br /> V1 2 585.00 0.00 585.00 <br /> Sal_ Total: <br /> 585.00 <br /> 8.REPRINT :Pl 6:leder <br /> Total: <br /> Phone Order xxxxxxxxxxxx6561 <br /> VISA Entry Method: Manual <br /> zzxzxzzzzzzz2543 <br /> aha VISA Entry Method: Manual To��ptal: $ 40.00 <br /> �J4\�` GE OF EU974 POS 545.00 02ot/11 0.15:47:03 <br /> k 1820 ROOSEVELT BLVD Total:EUGENE. OR. -4812 4159 15;42:14 Inv d: m�Sii02 Aor Code: 719E4 <br /> 541-682-4812 0209/11 J1inne AVS Code:11Gpf"Vd: 01111ne <br /> 22:32:52 Inv b: Dal APPr Code: 064470 A <br /> 02'09`17 gr.�r};d: OOnli <br /> SE1TlEMENT REPGRT AVS Code: CVV2 Code: HO MATCH H <br /> Bath Num: 252 DM Code; MATCH M I agree to Aar above total amount <br /> Host Name: Elavon according to card issuer agreement <br /> Merchant: 1 (Merchant agreement if credit voucher/ <br /> 585.00 I agree to Par above total amount n <br /> Sal s4 { according to card issuer agreement IJmf/J1 <br /> 2 $ 585.00 'Merchant agreement ii credit voucher) f <br /> Total : "---._ �. ....... <br /> Settlement Successful <br /> 080K 25202100132X -- Merchant COPY <br /> Ite <br /> THAWhan YOU <br /> THANK <br /> YOU! <br /> • <br /> 31 j\(;): "' <br /> 1 <br /> 545.00 + <br /> V\* 40.00 + <br /> 002,04.,,,:/ > <br /> 585.00 • <br /> \'''. . <br /> • <br /> 4 <br /> .i;: ! ,m}:J':,*4E,k,,:,#04,illt4Nsivt"i.,... <br />
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