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-.,-- -,:iitii'-'1 <br /> (:1(:-:2/ 6 b ., <br />• <br /> .i4 77..- <br /> •. <br /> CITY OF EUGENE POS <br /> • <br /> 1820 ROOSEVELT BLVD 820 01' EUGENE POS <br /> ' <br /> EUGENE. OR. 97402-4159 1820 ROOSEVELT BLVD . <br /> 591-fi82-4812 EUGENE. OR 97402-4159 <br /> REPRINT 541 f82-48 2 <br /> REPRINT <br /> M .,.!!one Order Phone Order :,:; <br /> xxxxxxxxxxx,.ltii3 xx)rxxxxxxxx1073 <br /> UISA Entry Method: Manual VISA _4 <br /> ry Method: Manual <br /> Total: $ 15,00 Total: $ <br /> 06/07/17 15.00 <br /> Inv 7 7 ;;;1f, 14:38:13 06/01,17 <br /> APPr Code: 043813 Inv 4: 4x44 4�;. : 036:?4 <br /> APPrvd: Online APPrvd: Online �Ar Code: 043634 <br /> AUS Code: CUS Code: <br /> CV42 Code: MATCH M VV2 Code: MATCH M <br /> I agree to Pay above total amount <br /> (Maccaccordt aging reementif issuer <br /> dagreement <br /> I agrees to oar card <br /> `.oral amount <br /> according too agreement <br /> ifscre itagreement <br /> (Merchant agreement (f credit voucher) <br /> x..4.021,_e(d ..s /2-k X..All.41_,b,......j. j9.....___ <br /> Mer'thsnt COPY <br /> THANK PINI! Merchent Gra;• <br />