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5 <br /> _ to <br /> Nc:7�' <br /> CITY CW EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE• OR. 97462-4159 <br /> 541-b 2-4812 <br /> REPRINT <br /> Phone r rder <br /> xxxxxxxxxxxx1337 <br /> MASTERCARD Entry Method: Manual <br /> Amount:$ 37.45 <br /> Tax: $ 0.00 <br /> Total: 37.45 <br /> 08/04/17 11:36:45 <br /> Inv 4: 000000001 Appr Code: 00454C <br /> Apprvd: Online <br /> AVS Code: <br /> I agree to Par above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> Merchant COPY <br /> THANK YOU! <br />