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104306
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104306
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Last modified
6/8/2017 12:44:58 PM
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6/8/2017 12:44:57 PM
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::::.:.... <br /> illiF inuntiaLlijim-51.0.,- <br /> CITY OF EUGENE POS <br /> CITY OF EUGENE POS 1820 ROOSEVELT BLVD <br /> . . , <br /> orquipommemmoopPmp1620 ROOSEVELT BLVD EUGENE. OR. 97402-4159 <br /> EUGENE. OR. 97402-4159 <br /> 541-662-4812 <br /> 541-682-4812 <br /> CITY OF EUGENE POS RE'RINT <br /> 1828 ROOSEVELT BLVD REPRINT <br /> EUGENE. OR. 97402-4159 <br /> 541.682-4812 Phone Order <br /> uc.et,,l t 22:32:93 Phone Order zzzzzzzzzzzz6959 <br /> TOTALS REPORT i zzzzzzzzzzzz0646 VISA Entry Method: Manual <br /> Elavon VISA Entry Method: Manual <br /> Total: $ 55.00 <br /> Card Cnt Sale Promo Total Total: $ 55.00 06/06/11 <br /> VI 2 110.00 0.00 118.00 1 4'��17 14;55;2214;45:50 <br /> Sale Total: f 110.00 i. I 55 LL Inv q: 4iiiiiiil IWPr Code: §,: OD <br /> Total: f 110.00 Ino q: s.ssss,s;y Agar Code: 05690D AAnrud: Online <br /> Aaarvd: Online AVS Code: <br /> AVS Code: CVV2 Code: hATCH M <br /> (P CVV2 Code: MATCH M <br /> I agree to PaY above total amount <br /> I agree to PaY above total amount according to card Issuer agreement <br /> CITY OF EUGENE POS • <br /> according to card issuer creditagreement <br /> voucher) <br /> (Merchant agreement if credit voucher) <br /> 1820 ROOSEVELT BLVD (Merchant agreement if voucher) Q <br /> EUGENE, -6. -4812 4159 VJr) ( V ` /1 <br /> 541.682-4812 •l A Eh� 11a_ <br /> 06.6,47 22:32:16 X----_...KrYe_��kilo"'O <br /> 5E1TLEI�NT REPORT Merchant COPY <br /> Merchwnt COPY THAW YOU?Batch Num: 323 THANK YOU! <br /> Host Name: Elavon <br /> Merchant: 1 <br /> AMR <br /> ? � 2 f 110.041 <br /> Iota! . 2 = 116 Fi�O <br /> Settlement Successful <br /> G8OK 82306070132 <br /> 1 <br /> An0,1,,p4)(n <br /> • <br /> 55.00 + <br /> 55.0 + <br /> 002....... ....-. <br /> • <br /> 10•d0 <br /> • <br /> F <br />
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