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q12-q /lq /0311°C • <br /> • <br /> CI1Y Of EUGENE PBS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 CITY IK tHOENE POS <br /> 541 682-4812 1820 EUGENE OR.ROOSEVELT <br /> 974BL4159 VD <br /> CITY Of EUGENE POS <br /> 04/2417 23:32:03 541-682-4812 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> TOTALS REPORT REPRI T 541-682-4812 <br /> REPRINT <br /> Elavon Sale <br /> Card Cnt Sale Promo Total Phone Order <br /> VI 4 310.00 0.00 310.00 xxxxxxxxxxxx3769 <br /> VISA Entry Method: Chip xxxxxxxxxxxx5502 <br /> tic 1 15.00 0.00 15.80 <br /> VISA Entry Method: Manual <br /> Sale Total: 325.00 Total• $ 90.00 <br /> Total: f 325.00 Total: $ 90.00 <br /> 044017 15:21:40 <br /> Inv 0: :5,,,,is Appy Code: 042208 0429/1/ 11:39:50 <br /> \b Apprvd: Online Inv q. 0s4,, .02 Aper Code: 95382C <br /> 4.' Apprud: Online I <br /> �O 1826YR1W EVELTEBLos C VISA I AVS Code: ZIP MATCH 2 I <br /> El1GEHE. OR. 97402-4159 AIG: A, :,1, 1010 CVV2 Code: MATCH M <br /> 541-682-4812 TVR: 08(890 08 80 00 <br /> 04i24i17 22:32:1? <br /> ISI: F8 00 I agree to Par above total amount <br /> according to card issuer agreement <br /> (�T <br /> (Merchant agreement if credit voucher) <br /> SETTLE1'11 1 agree to pay above total amount <br /> according to card issuer agreement <br /> • Batch Num: 295 (Merchant agreement if credit vouchei ) <br /> Host Name: Elavon X_____ _ __dit) _�-Y <br /> Merchant: 1 -----' --' uuu+m��woo ccc_��� <br /> Sales 5 ! 325.00 'n/ IC <br /> �;,., I 5 1 0 X____ - -IT-!L1.. _S.1_L_1 I Tlerchant Copy <br /> Total 5 8 325.00 DAYTON/Al E.JANDRA D *. MI! <br /> Settlement Successful Merchant Copy <br /> GOOK 29504258132 THANK YOU! <br /> 1 CITY OF EUGENE POS CITY GF EUW:NE POS <br /> RQri 11 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD <br /> (l • EUGENE. OR. 97402-4159 EUGENE. OR. 97482-4159 <br /> 541-682-4812 541-682-4812 <br /> CITY OF EUGENE POS REPRI T • <br /> 1820 ROOSEVELT BLVD • <br /> REPRINT . <br /> \ EUGENE. OR. 97402-4159 <br /> k b47 <br /> 541-682-4812 90.00 + Phone Order Phone Order <br /> Phone Order <br /> olpor 90.00 + zxzxxxxxxxxxv.49 xxxzzxzzxxxxl90 <br /> zxxxxxxxxxxx9372 MASTERCARD Entry Method: Ma VISA Entry Method: Manual <br /> 90.00 + VISA Entry Method: Manual <br /> 003 Total: $ 15. Total: $ 40.00 <br /> 270.00 Total: $ 90.00 04,2417 16.1 <br /> 01/2417 16:01:06 <br /> 04/2411 10:29:96 Inn q: 0sm1:05 Aper Code: 1 Inv q: a,s,s Aper Code: 036181 <br /> (bC. 40.00 + Inn q: ,ss,,,r, Aper Code: 0: :�4I Apprvd: Online Apprvd: Online <br /> 15.00 + Apprvd: Online AVS Code: AVS Code: <br /> 002........ .m AVS Code: CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> 55.0 * CVV2 Code: NO VOCE SED P <br /> rQ (O/�' I agree to Pax above total amount I agree to pay above total amount <br /> lam' Customer Copy according to card issuer agreeae� according to card issuer agreement <br /> 270.00 + (Merchant agreement if credit vouci (Merchant agreement if credit voucher) <br /> 55.00 + root YOUt 1 r 5/I` <br /> 002.... • e. .... 5►,� g ,T.ti-rri LA(/lf I'J--- --------- X__ j__14041-6T1 <br /> --- ` La <br /> 325.00 * � � � <br /> Merchant COPY Merchant Copy <br /> t THANK YOUt TIIAM< YOUt <br />