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11075
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11075
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Last modified
11/8/2017 9:15:42 AM
Creation date
11/8/2017 9:15:42 AM
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PW_Operating
PW_Document_Type_ Operating
MTO
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(4.!/51'.. <br /> CITY Of EUGENE POS <br /> 1820 ROOSEVELT BLVD CITY OF EUGENE POS <br /> • <br /> EUGENE. OR. 97482-4159 1820 ROOSEVELT BLVD <br /> 541-682-4812 EUGENE. OR. 97402-4159 <br /> 541-682-4812 <br /> REPRI T REPRINT <br /> Phone Order Phone Order <br /> xxxxxxxxxxxx4017 xxxxxxxxxxxx7503 <br /> VISA Entry Method; Manual VISA Entry Method: Manual <br /> Total: $ 100.00 Total: $ <br /> 114/17 11;11;41 60.00 <br /> Inv u: ,,,,,,,,� 11�06�17 11:18:35 <br /> Inv Online Agar Code: 82253A Inv 0: ,s,,,;,,, Amar Code; ,,,725 <br /> AVS Code: Aaarvud; Online <br /> CVV2 Code: MATCH M AVS Code: <br /> CVV2 Code: MATCH M <br /> I agree to Pan, above total amount <br /> according to card issuer agreement I agree to oav above total mount <br /> (Merchant agreement if credit voucher) according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> X <br /> cc) il ft <br /> _ ___Aft . Liii_. <br /> Merchant COPY <br /> Merchant COPY <br /> THANK YOU! <br /> THANK YOU! <br /> CITY OF EUGENE POS CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD 1820 ROOSEVELT BLVD <br /> j EUGENE. OR. 97402-4159 <br /> EUGENE. OR. 97402 4159 <br /> 541-682-4812 541 682-4812 <br /> 'EPRINT REP'INT <br /> Phone Order Phone Order <br /> xxxxxxxxxxxx6993 xxxx xxxxxxx6176 <br /> VISA Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 100.00 Total: $ 60.00 <br /> 1L06/17 11;23;21 11,06/17 11:24:15 <br /> Inv 0: ;;;,;;".: Amar Code: 006334 Inv#: ,,,,,,, 0 Or Code: 024878 <br /> Aaarvd: Online AaarCo Online <br /> AVS Code: AVS Code: <br /> Cl/V2 Code: MATCH M CVV2 Code: MATCH M <br /> I agree to nay above total amount I agree to oar 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 /> Lab AR _4_1______________ LCIL__-_-- A- .IA-_--___ <br /> b? <br /> Merchant Coon Merchant COPY <br /> THANK YOU! THANK YOU! <br />
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