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3 II0( 1-f rj. <br /> CITY OF EUGENE FOS CITY OF EUr<1�f POS <br /> VD <br /> !GEN .ROOSEVELTR. 97BLVD 18C20lRWSEVELLTEBLVD D EUGENE1820,OR. 97402OOSEVELT -4159 <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97402-4159 541-582-4812 <br /> 541-G82-4812 <br /> 541-682-4812 <br /> • REPRINT -. REPRINT`'. REPRINT <br /> Phone Order %mite.. Circlet- Phone Order <br /> zzzzzzzzzzzz8352 zzzzzzzzzzzz2628 zzzz::zzzzzzz5113 <br /> VISA Entry Method: Manual <br /> VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 100.00 Total: $ 60.00 Total: $ 100.00 <br /> 03/10/17 14:14:40 0310/1703/10/17 14:12;03 <br /> 14.17.14 Inv : 0001,15:09 APPr Code: 011598 <br /> Inv P: 1m10012 APP/ Code: 061446 Inv u: 000000015 APP/ Code: 01426C APPrvd: Online <br /> APPrvd: Online APPrvd: Online AVS Code: <br /> AVS Code: AVS Code: CVV2 Code: MATCH M <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to oar above total amount <br /> I agree to oar above total amount I agree to oar above total amount according to card issuer agreement <br /> according tore card issuer credit6.------- eementvoucher) <br /> . according to card issuer agreement (Merchant agreement if credit voucher) <br /> (Merchant agreement (r' voucher) (Merchant greement if credit voucher) <br /> x ,.._. <br /> yy l/ 6.------ <br /> A __ <br /> Merchant Ca.), Merchant Cuav <br /> Mcr(h,. Col. <br /> THANK YOU! 1HA18( 'IOU! <br /> THAW: YOU' . <br /> CITY OF EUGENE POE CITY OF EUGENE POS 1820YROF EUGENELT tlPOS LVD 18CI1V26 ROF EUGENEVELT 6LD <br /> 1820 k00SEVELT974 BLVD 1820 t0OR 974 BLVD EUGENE. OR. 97402.4159 EUGENE, OR. 97402-4159 <br /> EUGENE. OR. 97402-4159 EUGENE, OR. 97402-4159 <br /> 541-682-4812 541-682-4812 541-682-4812 541 682'9312 <br /> .• -REPf�II T -: "` :':: REPRINT- . _ , .; <br /> -REPRI TE *'-'-- ,..,REPRINT-- - ": <br /> -._ © ireder::- ,rha>n ;=Qfrikr - Phone Order . .:-i."-.'4';.",•P .":ner I'::Efer- <br /> xxxxxxxxxxxx2444 xzzzzzzxx xx6349 zoc000zzzzz4717 xxxxxxx xxxx?4?6 <br /> VISA Entry Method: Manual VISA Entry Method: Manual VISA Entry Method: Manual 'i 1SA Entry Method: Manual <br /> Total: $ 60.00 Total: $ 60.00 Total: $ b0.oe Total: $ 60.00 <br /> 0310/17 14:16:19 03/10/1? 14:10:29 03/10/17 14:09:3( 03/10/17 14:11:19 <br /> Inv a: 000000014 APPr Code: 061625 Inv u: 00000000? APPr Code: 626060 Inv It: 000000006 APP/Code: H66991 Inv n: 000000E APPr Code: 381345 <br /> APPrvd: Online APPrvd: Online APPrvd: Online APPrvd: Online <br /> AVS Code: AVS Code: AVS Code: AVS Code: • <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to may above total amount I agree to nayabove total amount I agree to Pb', above total amount I agree to o3Y above total amount <br /> according to card issuer agreement according to card issuer agreement according to card issuer agreement according to card issuer agreement <br /> (Merchant agre,e..---'- <br /> X <br /> it if credit voucher) (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) <br /> '' C- '6.yyy C(;---------"- <br /> C6-'.. --* <br /> XX_______. L _..__.__._. X_._ <br /> Merchant COPY Merchant CopseMerchant Coov Merchant Copy <br /> ['HANK YOU! THANK YOU? RIPNK YOU! THANK YOU, <br /> 1 <br />