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14188
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Last modified
1/31/2018 11:42:59 AM
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1/31/2018 11:42:58 AM
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City of Eugene q72-100 131 - 34 ZCo -314 �"r ' '''' c3 <br /> r,..,"----..- ,.,.:.,«.,Hance <br /> and Open Space 0111441101LIN <br /> levard <br /> CITY OF EUGENE POS 300 Eugene <br /> 1828 ROOSEVELT BLVD <br /> EUGENE. OR. 97402-4159 882 <br /> 541-682-4812 <br /> Phone Order .01 RECEIPT <br /> wooaxxxxxx1385 �� erl <br /> VISA Entry Method: Manual <br /> Total: $ 60.00 <br /> 01/26'18 08i07:12 (Z ' Description Amount <br /> Inv q: :s:s s;s s Aapr Code: w4713 <br /> �'C h'1,1'1,04, he avl 3 d — <br /> Aaarud: Online <br /> AVS Code: <br /> CVV2 Code: MATCH M p 02;6C-0fjP/7 <br /> I agree to oar above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> X_____________________________ TOTAL COO <br /> Merchant COPY <br /> THANK You' 7 Cash • Check# Cf Credit Card <br /> y .i <br />
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