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I*pill- <br /> i° . <br /> 5 <br /> CITY OF EUGENE POS Y OF EUGENE POS <br /> CITY OF EUGENE PUS 1820 ROOSEVELT BLVD CI1CIT8 ROOSEVELT BLVD <br /> 1820 ROOSEVELT BLVD EUGENE. OR. 97402-4159 EUG28E. OR. ELT8B-VD59 <br /> EUGENE. OR. 97402-4159 541-682-4812 641-682-4812 <br /> 541-682-4812 <br /> REPRINT REPRINT REP' NT <br /> Phone Order Phone Order Phone Order <br /> zz>vtoaaaczzzxx: xxxxxxxxxxxx1158 zzzzzzzzzzzz3368 <br /> VISA Entry Method: Manual VISR Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 100.00 Total: $ 60.00 Total: $ 100.00 <br /> 18/3017 13:82:41 18'3817 16:43.12 18�38�17 16:01,08 <br /> Inv a: ,s s s,s s,. Aper Code: 05S46D IAparnv ud:Online 8 Aper Code: 89 : Inv a: ; „;s;s; Aper Code; 1, '17 <br /> Apprvd: Online AVS Code: Apprvd: Online <br /> AVS Code: CVV2 Code: MATCH M AVS Code: <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to Pay above total amount I agree to par above mount <br /> total amount <br /> I agree to aav above total amount according to card issuer agreement according to card issuer agreementam <br /> according to card issuer agreement (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) <br /> (Merchant agreement if credit voucher) <br /> Merchant Cony Merchant Copy <br /> Merchant Copy <br /> THAW YOU! THANK YOU! <br /> THANK YOU! <br /> CITY OF EUGENE POS CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97402-4159 <br /> 541-682-4812 541-682.4812 <br /> REPRINT REPRINT <br /> Phone Order Phone Order <br /> zx000axxxxxx4158 xxxxxxxxxxxx4150 <br /> VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 100.00 Total: $ 100.00 <br /> 1 . 10'30/17 13:43:51 - 10/3817 13:43:84 <br /> Inv#: ,mm: Aper Code: 883111 Inv a: v i,!s s s s7 Aper Code: :!: '7 <br /> APPrvd: Online Apprvd: Online <br /> AVS Code: AVS Code: <br /> CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to par above total amount I agree to pay above total amount <br /> according to card issuer agreement according to card issuer agreement <br /> (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) <br /> Id <br /> bull z4F___ <br /> K-CG" __-___ _ ---- X- G-------- <br /> Merchant Copy Merchant COPY (21 <br /> THANK YOU! THANK YOU! <br />. <br /> 1 <br /> I <br />