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- ^! irY�mM,mir.�. <br /> -.21-2-0/-- -5 3/al /r1-- <br /> CITY OF EUGENE POS <br /> 1E20 ROOSEVELT BLVD <br /> EUGENE, OR. 97402-4159 CITYOf <br /> CITY OF EUGENE POS 541.682-4812 18E2 0 .:O USE 9E7T BLVD <br /> EUGENEPVD <br /> 1820 ROOSEVELT BLVD EUGENE. 012. 97402-4159 <br /> EUGENE. OR. 97402-4159 REPRINT. .= "-. 541-682-4012 <br /> 541.682-4812 EPRIN <br /> b3i21i17 22:32:08 REPRINT <br /> TOTALS ITT - . •Sate <br /> Elavon xxxxxxxxxxxx6998 <br /> °hone 'Order: :, <br /> VISA Entry Method: Chip xxxzzxxxzzxx6734 <br /> Card Cnt Sale Promo Total VISA Entry Method: Manual <br /> VI 4 730.53 0.00 730.53 Total: $ 510.53 <br /> Sale Total: $ 30.53 03/21/17 11;04;56 <br /> Total: 90.00 <br /> Inv 0: 00m0061 APPr Code: 037046 03/21/17 15:23;20 <br /> • APPrvd: Online Inv u: 000000604 APPr Code: 04526D <br /> / APPrvd: Online <br /> 5 : Capital One Visa AVS Code: <br /> RID: R0s s 0631610 CVV2 Code: HATCH M <br /> / � 1CITYROF EVELT EUGENE <br /> BP05 TVR: 80 80 00 80 00 <br /> '+ EUGENE, OR. 97402-4159 <br /> 541-682-4812 TSI; 68 66 I agree to mar above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> 03/21,1? 22:33:15 I agree to oar above total amount <br /> according to card issuer agreement 1 <br /> SETTLEMENT REPORT I (Merchant agreement if credit voucher) ? /,��� /� �/ <br /> X--- 4444 V 'iJ . ' <br /> HostNum: 272 X )5/. b5O.: t)579/} <br /> Host Name: Elavon / il• / I V <br /> Merchant: 1 1- Merchant COPY <br /> ADKINS MARK <br /> lla <br /> Sales 4 $ 739.53 IHAtIK YOU! <br /> i,al S Merchant Copy <br /> Total 4 $ 730.53 <br /> THAM( YOU! <br /> Settlement Successful <br /> I ^^w '77x4220133 <br /> 51 + CI!Y Of EUGENE POS <br /> 001 CITY Of EUGENE POS 1828 ROOSEVELT BLVD <br /> 'I` �, 1820 ROOSEVELT BLVD EUGENE. OR. 97902 9159 <br /> J a 532;4 EUGENE. OR. 97402-4159 541-682.4812 <br /> �' Iii 541 682-4812 <br /> ' O� .4 REPRINT ---REPRINT,, <br /> •'Phone.Qr•der <br /> 00 ., zzxzzxzxzxxz 7051 xxxzx xxxxxxx9945 <br /> 4.,°0 * VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 40.00 Total: $ 90.00 <br /> �I:�JN� 90'°0 + 03/21/17 14:01:13 <br /> ��, 90.00 + 03/2117 11:32:52 , <br /> 0? :- , : : : Inv a: DFii0000002 APra� Cod:; 311223 Inv a: 000001413 APPr Code: 040117 <br /> � APPrvd: Online <br /> ���. 'r -x APPrvd: Online AVS Code ?IP MATCH 2 <br /> AVS Code: CVV2 Code: MATCH I1 <br /> • 0, CVV2 Code: MATCH M <br /> I agree to Par above total amount <br /> I agree to Par above total amount according to card issuer agreement <br /> 510.5 + according to card issuer agreement (Merchant agreement if credit voucher) <br /> (Merchant agreement if credit voucher) <br /> X_•4444`4--'!� rC�-+� 1 f(7 '1/� '4444-- <br /> 7 .0.55 Merchant CuPY <br /> rt_.•:i Mercl'iact EoPv <br /> ':,'/E THA* YOU! THANK YOU! <br /> a-in,� lac lv <br /> L•..+..61•a _ <br /> 1e.I. KC <br /> .JYWtY �r ..�kt.�.4.f�iA. <br /> :Ju+t. * <br />