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101936
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101936
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Last modified
3/14/2017 10:28:52 AM
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3/14/2017 10:28:51 AM
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I <br /> CITY uF EUGENE POS CITY Of Ural PDS <br /> 1£20 ROOSEVELT BLVD 182U ROOSEVELT UIVD CITY Of EUGENE POS <br /> EUGENE. OR. 97402-41591820 ROOSEVELT BLVD <br /> 541-682-4812 EUGEN5. OR. 948112 4159 EUGENE, OR. 97402-4159 <br /> Sal 682-481_ 541.692-4812 <br /> -.-REP[ NT - REPRI T . : <br /> • REPRINT. ..- '--, <br /> Phone E1rde� - Phone Order:-.:L * Phone Elyder <br /> xxxxxxxxxxxx4808 xxxxxxxxxxxx1882 xxxxxxxxxxxx6009 <br /> VISA Entry Method: Manual VISA Entry Method: Manual VISA <br /> Entry Method: Manual <br /> Total: $ 60.00 Total: $ 60.00 Total: $ <br /> 03, 14:13:51 100.�� <br /> 101? <br /> 03�10�1? 14:15:28 03101? 14:06:54 <br /> Inv 4: 000000011 Apar Code: 06135? Inv it: n00013 APPr Code:041529 Inv $1: 000006003 Appr Code: 006250 <br /> Apprvd: Online Apprvd: Online Apprvd: Online <br /> AVS Code: AVS Code: AVS Code: <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M CVV2 Code: MAICH M <br /> I agree to oar above total amount I agree to nae above total amount <br /> according to card issuer agreement according to card issuer mareemen{ I agree to oar above total amount <br /> (Merchant agreement if credit voucher) (Merchant Bement if credit voucher) according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> (f'-\ .1.-...--------- <br /> m.1G........."- <br /> X------=�`- <br /> ---------- <br /> C' <br /> Merchant COPY Merchant C,PY <br /> Merchant roPr <br /> THAW YOU! THANK YOU! <br /> THANK YOU! <br /> CITY Of EUGENE POS <br /> CITY Of EUGENE PUS 1820 ROOSEVELT BLVD CITY Of EUGENE POQS <br /> 1820 ROOSEVELT BI.VU EUGENE, OR. 97402-4159 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 541.682-4812 EUGENE. OR. 97402-4159 <br /> 541.682.4812 541-682-4812 <br /> _..: .. . REPRINT- ..--'“:.:''''',--;:7:. <br /> .7-'-•...:.;-f-- REPRII T7` '-'..-5:1-''':-: 'REP'INT <br /> Phone ETrdec- -; Phone Order <br /> .:Phone.0cder.':;-: <br /> xzzrzzzzxxzx2361 xxxxxxxxxxxx8440 <br /> VISA Entry Method: Manual xxxxxxxxxxxx5290 <br /> VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 100.00 Total: 100.00 Total: $ 60.00 <br /> 0310/1? 14:13:02 03/10/17 14:08:41 0310 <br /> Inv b. m1005Appy Code: 03409D 11? 14:07:54 <br /> Inv 4: .,,�,X0010 Am' Code: 09865C Inv 4: Mom APPr Code: 026298 <br /> Auer vd: Online APPrvd: Online <br /> AVS : AVS Cade: APPrvd: Online <br /> CVV2 Code: MATCH M CVV2 Code: MATCH ii AVS Code: <br /> CVV2 Code: MATCH M <br /> I agree to oar above total amount <br /> I agree to may above total amount according to card issuer agreement I agree to oar above total amount <br /> according to card issuer agreement (Merchant agreement if credit voucher) according to card issuer agreement <br /> (Merchant agreement if credit voucher) ! (Merchant agreement if credit voucher) <br /> X_---...- C L X i, .c <br /> Merchant Copy <br /> Merchant COPY <br /> ThANK YOU! Merchant COPY <br /> THANK YOU! THANK YOU! <br />
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