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13449
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13449
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1/12/2018 9:25:28 AM
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1/12/2018 9:25:27 AM
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•Rivers to Ridges'—Long Tom Watershed Council—Rob Hoshaw <br /> As of 11/9/17,deposit dues and donations in Revenue <br /> Account 479700 <br /> Fund 535 <br /> Work Unit 9630 <br /> Program 307 <br /> Project-Activity 300500-10000 <br /> Heidi Hubbard <br /> rrTv nF tiros p0S <br /> CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 <br /> 541-682.4812 <br /> Phone Order <br /> xxxxxxxxxxxx2491 <br /> ! S1ERC i EntrY Method: Manual <br /> Amount:$ 250.00 <br /> Tax: $ 0.00 <br /> Total: $ 250.00 <br /> @'11'18 15:22:41 <br /> Illy 4: 000080004 Agar Code: 81185C <br /> pprvd: Online <br /> AVS Code: ZIP MATCH Z <br /> CW2 Code: MATCH M <br /> Cust N: 818 <br /> I agree to pay above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> --------------- <br /> Merchant Copy <br /> MAW YOU, • <br />• <br /> • <br /> YID Y <br /> ,-; .. <br />
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