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103523
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103523
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Last modified
5/9/2017 10:56:17 AM
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5/9/2017 10:56:16 AM
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PW_Document_Type_ Operating
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. _7; (( <br /> ::k= <br /> CITY OF EUGENE POS CITY OF 1828 <br /> POS <br /> 1820 ROOSEVELT BLVD 1828 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> EUGENE. OR. 97482-4159 <br /> 541-682-4812 541-682-4812 <br /> REPRINT • REPRINT <br /> Phone Order Phone Order <br /> zzzzzzzzzzzz3632 zzzzzzzzzzzz4193 <br /> MASTERCARD Entry Method: Manual MASTERCARD Entry Method: Manual <br /> Total: $ 15.00 Total: $ 15.80 <br /> 05/03/17 11:21:22 05/03/17 11:01:15 <br /> Inv a: 00000s.s. Apar Code: 182673 Inv a: 000W414 Aper Code: 61167Z <br /> Apprvd: Online Aoorvd: Online <br /> AVS Code: AVS Code: ZIP MATCH Z <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to Pay above total amount I agree to Par above total amount <br /> according to card issuer agreementcordlna to card issuer agreement <br /> (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) <br /> X- L M 64f-i 5/i3 <br /> Mer..haot Copy Menhant Coax 0_,P4.-y �(' <br /> THOW YOU! THANK YOU! fI!ll���o of <br />
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