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/i7i <br /> CITY • <br /> 820ROOSEVELICP E <br /> POS <br /> 1BLVD <br /> EWE*. 08. 97402-4159 CITY Of EWE-)E pits <br /> 28 ROOSEVELT BLVD CITY Of EUGENE <br /> 02.12.16 22'.a2:(6flREME. OR. 97482.0159 2828 RO06TVE11 BL <br /> VI) <br /> 541.682-4912 18 <br /> 541.682-4812 EODETE. UP. 97002-4169 <br /> JUICES REPORT REPRINT 541-692-4812 <br /> • ^mit <br /> Elavon Phone Order <br /> Crd Cnt Sde Prow lot ittttll <br /> VI 2 160.00 8.00 168.08 VIM <br /> t Refund <br /> Vale Total: f 160.08 VItM Entry Netted: lima! <br /> VIS4 trrr rrri:�/ <br /> Natal: f 160.00 Entrr Naha Mn I <br /> Total: $ 175.00 Total: $ <br /> X18 16:62:43 9242/1815.00 <br /> Ire r: OWE kr fade: 426161 Ince t: crs;; rl 89:18:18 <br /> CITY Cf EUGENE FOS <br /> NS <br /> bond: Online �PIVd: Online vf(/,f,,/y�� TL <br /> 1820 ROOSEVELT BLVD <br /> AYS talk: D E Y " <br /> EtKOE. OR. 97482-4159 CP42 Code: II <br /> I <br /> 541-6829811awn to 0.. <br /> .acceding to card issuer total aeMNt <br /> Ct2r12•ld 71:32:19 (Mercha.n1t agneennt if crod whe <br /> SEREST <br /> p�p7 I awn to oar above total motet / l her) <br /> eLIIVl1U11 REIYIII according to card awe agreernt //� <br /> Merchant mord if credit voocher) /�J <br /> Batch Nr: 446 <br /> Most Nos: 1lwon Y <br /> Mrrclrnt: 1 "•---�`� j My(Kent four <br /> 6a M. <br /> 1 f 175.86 <br /> AR <br /> Total . 2 $11116111.12 <br /> Ma chant Coov Gtr' nip <br /> Settlernt Stansful TRW( MP <br /> ISM 44682130132 <br /> 09) i 7' + <br /> 175.X10 • <br /> n. <br /> �Qe. 1 • 1�: + <br /> s <br />