5I ))1- A ,____Ls____L?_-______13 _ <br /> li <br /> GITY OF EUGENE PUS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. AR. 97482-4159 <br /> 541 6212-4812 <br /> REPRINT <br /> Phone Order <br /> 4. ;1 zzzzzzzzzz:od073 `; <br /> 1 MASTERCARD Entry Method: Manual <br /> - Total: $ 470.00 <br /> • 0549/17 14:05;08 i' <br /> Inv 0: ;.,mmo APT Code: !'c <br /> (parvd: Online , <br /> AVS Code: ZIP MATCH Z <br /> CW2 Code: MATCH M <br /> I agree to oar above total amount <br /> according to card iaauer agreement <br /> (Merchant agreement if credit v her) <br /> 1) &fa& 6 I( <br /> 1, 2 T3 <br /> _�THACoPY <br /> I< OUt <br /> THANK You± <br /> F <br />