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/ 77/ St- 41- / 45/ 7- <br /> CITY OF /Uff1E P05 <br /> 1820 ROOSEVELT BLVD <br /> EMETIC. OR. 97982-9159 CITY OF POS <br /> CITY a E POS <br /> 591.6029812 <br /> 1820 ROOSEVELTWLT BEA 1828 ROOSEVELT. 974 BOA <br /> E0CF1E. OR. 97982.9159 EtGEIE. OR. 97982.9159 <br /> 92,0748 2Z:3247591'662-9812 541 6:R-9812 <br /> IRS SPORT `EP'INT REPRINT <br /> • <br /> Um Phone Crier Phone Order <br /> Card Cnt Sal. Promo Total Na7c '�,�tK <br /> VI 2 130.66 0.68 136.N xecoRnca1816 X)OOOL'OOIKBy 105 <br /> 5.1t Total: a 130.09VISA Entry Method: Manual VISA Entry Method: Normal <br /> Total: I 130.00 <br /> Total: $ 15.00 Total: $ 115.00 <br /> 02/81/18 14:45.11 ;7 1,18 18:41:38 <br /> Ire t tem ft A:or Code: 169366 Inv L ;s;;;;;; Par Code: <br /> Aomrvd: Online Anand: Online <br /> CITY DE (MEHL Ros AUS Code: AVS Code: <br /> 1820 R1105EVELT BEA <br /> EUGENE. OR. 97402-4159 CW2 Code: MATCH M CVV2 Code: MATCH M <br /> 541.662 9812 <br /> I agree to nay above total amount I agree to nay above total secant <br /> 02/07,19 22.42:20 <br /> accurdine to card issuer aweea.nt according to card 'sear <br /> 7[221[1gL1 OCDepT (Merchant ngr.earnt if credit voucher) (Merchant aweea.nt tf credtivoccler) <br /> h <br /> BatcM a: 995 I Merost hwMar: F,swnSg.rnt -4/63Iv}K/rLA- • (�// 1.`...atcd: 1W1 J <br /> Sales 2 a 130.80 <br /> 7at�ila t 1 .W lee chant Cu.. Ike(hod Cosy <br /> iW9x Mat Mex ,w, <br /> Settlement Suuessful <br /> tens 99502088132 <br /> .. , + <br /> ns A <br /> pik."SC o + <br /> 15. 7 <br /> ^. * <br /> 115.: : + <br /> 15. <br /> �l /����2JL�J.I+, • <br />