q 1 5 i s --i___ <br /> _l_SL21_12.2.1:. ______ <br /> CITY OF EUGENE POS , CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD CITY OF EUGENE POS 1828 ROOSEVELT BLVD <br /> EUGENE, OR. 97402 4159 1820 ROUSE r EUGENE, OR. 97402 4159 <br /> 541-682-4812 EUGENE, ^'. 97402-4 541-682-4812 <br /> 84/05/1? 22:32:06 X541-682-4312 <br /> 101RDS REPORT REPRINT <br /> Refund <br /> Elavon xxxxxxx, , i. Sale <br /> Card Cnt Sale Promo Total MASTERCARD Entry Method: Manual zzz>oczzzzzzz66a1 <br /> VI 1 10.00 8.0le.ee VISA Entry Method: Chip <br /> 00 <br /> MC 1 160.66 0. 0 168.00 Amount:$ 160.00 <br /> Tax: <br /> Sale Total: $ _150.66 0.00 Total: 10.00 <br /> Total: $ -15e.66 ------- ---------- <br /> Total: $ 160.000405/11 10:11:11 <br /> @405'11 10:56:21 Inv a: .;s,:r:: Aper Code: 951112 <br /> Inv q: ;,s;',,;,2 Aparud: Online <br /> �p�` J -4Apprvd: Online VISA DEBIT <br /> , 1828 R <br /> CITY of EUGENE POS ASID: AO-�s i,003110 <br /> ROOSEVELT BLVD I agree to Par above total amount IVR: 80 80 08 86 80 <br /> EUGENE. OR. 97402-4159according to card issuer agreement �+ <br /> 541-682-4812 (Merchant agreement if c edit voucher) TSI: 68 00 <br /> 04/05/17 22:32:53 D, <br /> SUREST r��r�''r1 �AZ 0 -gv�l t <br /> accordingI agree totoacarrPr d issveuueraagreemotl ent <br /> _ ^'"' r r- (Merchant agreement if credit voucher) <br /> Batch Num: 282 Merchant Copy � <br /> Host Name: Elavon G� <br /> Merchant: 1 THAT& UUf • <br /> Sales 1 x___/)_8_____�_���_ _—.. <br /> Refun. . 1 8 160. b yn�G�`'''--�.__ //--,, ELLIOTT'GARY <br /> Total 2 $ -159.00 V <br /> Merchant COPY <br /> Settlement Successful THANK Your <br /> GBOK 28204060132 <br />