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104598
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104598
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Last modified
6/20/2017 2:49:01 PM
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6/20/2017 2:49:01 PM
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0 0lo .I � S6 <br /> I� 311-3- _ <br /> CITY Of EUGENE POS E PUS <br /> Y Of EUGENE 1820 ROOSEVELT BLVD CIT ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97492-4159 <br /> 541-682-4812 541-682-4812 <br /> 0643/17 22:32:07 • PRINT ' CITY Of EUGENE PUS <br /> TOTALS RIPORI 1820 ROOSEVELT BLVD <br /> EUGENE.54OR. 97402-4159 <br /> 'hone Order <br /> Elavon REPRINT • <br /> Card Cnt Sale Prow Total xxxxxxxxxxxx2951 <br />• VI 3 255.00 0.00 255.90 VISA Entry Method: Manual Phone Or.er <br /> Sale Total: $ 255.00 <br /> Total: $ 255.00 Total: $ 175.00 xxxxxxxxxxxx9:.: <br /> 06/13i17 09:43:91 <br /> VISA Entry Method: Manual <br /> (� Inv a: 098.i �1 APPr Code: 867926 Total: $ 40.00 • <br /> it)' <br /> APPrvd: Online 96i13r17 13:[41:4p4 <br /> 8I0Y Of EVELTE PVD AVS 4O�' {(/ Inv 0: r,m992 APPr Code: 954150 <br /> 18E0 ROOREV97T 2-4D CVV2 Code: MATCH M APPrud. Online <br /> EUGENE. OR. 97402-4159 Online <br /> 541-68,2-4812 <br /> I agree to Par above total amount AVS Code: <br /> 06.13/17 • 22:32:52 according to card issuer agreement CVVL Code: MATCH M <br /> (Merchant agreement if credit voucher) <br /> SETTLEMENTREPORTBI agree to Par above total aaount <br /> 6 4 (>/3 according to card issuer agreement <br /> 3 <br /> 8 <br /> Merchant: 1 <br /> Hatch Num:ost Name: Elavon X-_ �-_ (Merchant agreement if credit voucher) <br /> H ._t <br /> Salts 3 f 255.00 Merchant COPYOW, fillillth X 6 e 1/kell <br /> 3 <br /> Total 3 4 255.00 THANK YOU! <br /> Settlefent Succe55ful Merchant COPY <br /> GBOK 32896140132 THANK YOU! <br /> (A{O5 `‘ CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> E NE. OR. 97402-4159 <br /> 541-682-4812 <br /> RE'RI T <br /> 051)'-'15. + <br /> 001.00-- ,... Phone Or•er <br /> 175.00 <br /> xxxxxxxxxxxx9434 <br /> 40.00 + VISA Entry Method: Manual <br /> . Ot�. 40•` + Total: $ 40.00 <br /> oozo....00 . <br /> .!.,.LL <br /> e0.00 * 06�13�17 16:08:09 <br /> Inv a: 0,,,'c i 4003 APPr Code: 928610 <br /> 175.00 + APPrvd: Online <br /> • �}o.i o + AVS Code: <br /> 002 , .. CVV2 Code: MATCH M <br /> 255.00 * <br /> f ! agree to oar above total amount <br /> \ according to card issuer agreement <br /> Merchant agreement if credit voucher) <br /> b ( .`f <br /> i <br /> Merdhans COPY <br /> TIIAIIK YOU! <br />
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