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0 . <br /> if• <br /> i. <br /> CITY OF EUGENE POS CITY OF EUGENE°POS ! <br /> 1820 ROOSEVELT BLVD <br /> r <br /> 1820 ROOSEVELT BLVD I <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97482-4159 <br /> 541-682-4812 541-682-4812 I <br /> • <br /> REPRINT Phone OrderPhone Order zz1896 <br /> zzzzzzzzzz ,� Entry Method: Manual <br /> VISA Entry Method: Manual : $ 40.00 <br /> Total: $ 15.00 06 62.113' 13:56:48 <br /> s, :2x11 15,04.43 Inv ss,00,:��4 APPr Code: 018488 <br /> Inv a: !Arm!,s" APPr Code: 01623DAPurud: Online <br /> APurvd: Online AVS Code: <br /> AVS Code: CVV2 Code: MATCH N <br /> CVV2 Code: MATCH M I agree to Par above total amount <br /> . according to card issuer agreement l <br /> I agree to mar above total amount (Merchant agreement if credit voucher) <br /> according to cart issuer agreement1 l� <br /> (Merchant agreement it redit voucher) (V /%/// <br /> )(121 <br /> -M�--- • <br /> K._hrikti---illeked7-. ‘ /21f i <br /> Merchant COPY <br /> THANK YOU! • <br /> Merchant CoPY <br />