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105181
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105181
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Last modified
7/10/2017 4:06:00 PM
Creation date
7/10/2017 4:05:59 PM
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• <br /> • <br /> CITY Of EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE, OR. 97402-4159 CITY OF EUGENE POS <br /> 541.682-4412 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> REPRINT 541682-4812 <br /> REPRINT <br /> Phone Order <br /> xxxxxxxxxxxx8434 Refund <br /> VISA Entry Method; Manual xxxxxx •• <br /> Total: � VISp Entry Method; Manual • <br /> 130.00 Total: $ <br /> 07/0747 16:47:21 01/ <br /> 130.00 <br /> Inv q: m1;5;05 poor Code: 817874 : Inv <br /> 4:17 16;54;59 <br /> Aorud: Online 1 Inv q: <br /> AVS Code: pnnrvd: Online <br /> CVV2 Code: MATCH M <br /> I agree to gay above total amount <br /> according to card issuer agreement <br /> I agree to gar above total amount (Merchant agreement if credit voucher) <br /> according to card issuer agreement <br /> get.:66, <br /> merchant agreement if credit voucher) 7/iJi, <br /> 2.1 . <br /> "-""' Merchant COPY <br /> Merchant Cony + THANK YOU! <br /> THANK YOU! <br />
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