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11076
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11076
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Last modified
11/8/2017 9:14:31 AM
Creation date
11/8/2017 9:14:30 AM
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PW_Operating
PW_Document_Type_ Operating
MTO
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101- 6 <br />• <br /> II 1 --4.-- <br /> CITY Of EUGENE POS 4 2 n 0 <br /> 1820 ROOSEVELT BLVD <br /> EUGENE, OR. 97402-4159 <br /> 541-682-4812 <br /> 11,07/17 22:32:05 <br /> TOTALS '+ 'i,'i <br /> Elation <br /> Card Cnt Sale Promo Total <br /> CITY Of EUGENE POS CITY OF EUGENE POS <br /> VI 2 200.00 0.00 200.00 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 EUGENE. OR. 97482-4159 <br /> Sale Total: f 200.00 541-6824812 541-682-4812 <br /> Total: $ 200.00 <br /> REPRINT REPRINT <br /> Phone Order Phone Order <br /> zzzzzzzzzzzz5863 xxxxxxxxxca3384 <br /> CITY OF EUGENE POS VISA 1820 ROOSEVELT BLVD Entry Method: Manual VISA Entry Method: Manual <br /> EUGENE. OR. 97402-4159 <br /> 541-682-4812 Total: $ 100.00 Total: $ 100.00 <br /> • 11/01/17 22:32:33 11/8717 68:44:14 11'91'17 88:43:27 <br /> SETTLEMENT REPORT Inv#: ,s:vve APPr Code: 136015 Inv q: s„ss:::1 APor Code: 135978 <br /> Batch Num: 411 APPrvd: Online APPrvd: Online <br /> Host Name:Merchant: ElavonlAVS Code: AVS Code: <br /> Sales : 2 8 200.00 CVV2 Code: MATCH M CVV2 Code: MATCH M <br /> Total 2 $ 200.00 <br /> I agree to vav above total mount I agree to vav above total mount <br /> Settlement Successfulaccording to card issuer agreement according to card issuer agreement <br /> (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) <br /> GOOK 41111080132 <br /> ka-----A-01--Z-8.------ <br /> Merchant COPY Merchant Copy <br /> THANK YOUR THANK YOUR <br />
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