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/If I06sal <br /> I 0' 50 4 ! CITY OF EUGENE P05 <br /> 11!! 1J 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> 541682-4812 <br /> 0. * REPRINT <br /> of- 7D5•:;0 + - Phone Order <br /> 90.00 + xxxxxxxxxxxx8068 <br /> 0020,..... VISA Entry Method: Manual <br /> 195.00 <br /> Total: $ 40.00 <br /> 1950'131 + 0822/17 14:11:56 <br /> ���----� — Inv 4: ,s,0%„%1' Apar Code: 094515 <br /> 044 ‘10 <br /> Raarvd: Online <br /> AVS Code: <br /> CVV2 Code: PATCH M <br /> 0f) . & 40.00 + <br /> I agree to pay above total amount <br /> according to card issuer agreement <br /> 40.( * (Merchant agreement if credit voucher) <br /> 40.00 + X-- =;� _ -------6(9 <br /> 001.00.4000 <br /> 40.00 <br /> Merchant Copy <br /> THANK YOU! <br /> 120• o + <br /> 4C• <br /> ° + <br /> ( <br /> 10 <br />