(.1:92,-) (c( (9- 4-- <br /> 10 5-07- <br /> CITY • <br /> CITU OF EUGENE POS <br /> OF EUGENE LVD 1820 ROOSEVELT BLVD <br /> 1820 .ROOIVELT BLVD 1 EUGENE, O . 97402-4159 <br /> EUGENE, OR. 97402-4159 5 <br /> 541-682-4812 41 602 4812 <br /> REPR NT <br /> REPRINT <br /> Phone Order <br /> xxxxxxxxxxxx1463 xxxxxxxxxxxx5475 <br /> VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 165.00 Total: $ 50.00 <br /> • <br /> 07/1941 11:59:48 01/19/17 15:24:12 <br /> Inv II: um Aper Code: 837160 Inv I: Mr/WA/4 Aper Code: 833040 <br /> Apprvd: Online Apprvd: Online <br /> AVS Code: AVS Code: <br /> CVV2 Code: HOT PROCESSED P CVV2 Code: MATCH M <br /> I agree to Pay above total amount I agree to Pay above total amount <br /> according to card issuer agreement <br /> accordingto cardissuer agreement (Merchant agreement if credit voucher) <br /> (Merchant <br /> agreement if credit voucher) <br /> Lvi :_WijA ' 7/21 XC16dLt�hf53 <br /> ?!erch. 1 Copy <br /> Merchant Cagy <br /> THANK YOU? <br /> THAN(YOU! <br />