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a1as-lis 4 _ isa& a <br /> CITY a FUME PDS CITY OF [U[f/E POS <br /> 1820 RCM-VEIT You CITY a EUGENETPot <br /> 1820 ROOSEVELT BLVD <br /> EUmE. OR. 97402.4159 1820 RODSE�ELBLVD <br /> 541-682.4812 EWEIE. OR. 9 74 02-415 9 EUENE. DR. 97402-4159 <br /> 541-662.4812 541-682-4812 <br /> 02,28•18 22:32:06 REPR N <br /> mima <br /> US RIPORU sit <br /> m <br /> Elavon Phone Order Phone ar.er <br /> Card Cnt Salo Prow Total orcaccoort1542 40(1>Oci7t1nOR6185 <br /> VI 4 340.03 0.00 348.00 VISA Entry Method; Mahal VISA Entry Method: Maul <br /> Sale Total: 4 340.00 <br /> Total: 4 340.00 Total: $ 75.00 Total: $ 90.00 <br /> 82/18/18 13:31:32 8248/18 15:22:28 <br /> Inv d: '::a:,lr Apar Cods: P. 7 Inv 1: ";: kr Code: ,: 5 <br /> karvd: Online Aaorvd: Online <br /> CITY a EUENE POS AVS fads; AVS Code: <br /> 1820 ROOSEVELT BOO CW2 Code: IWICH M DK Code: WITCH M <br /> EUEIE. CR. 97482-4159 <br /> 541682.4812 <br /> I agree to oar .bore total scant I MOW to oar doe total amount <br /> 02,25,18 22:32:55according to card issuer agreement according Lo card fewer agreement <br /> (Merchant a ree..nl if credit voucher) (Merchantt .gree.ent if credit voucher/ <br /> CfTtIM ' 1'7 <br /> MO : 457 y /4-e14 . biJ L24-an/ `ce. 3Ji 7— <br /> HostHost <br /> Na.: Eleven <br /> Merchant: 1 <br /> Sates • 4 t 390.eIN M'.hant Cow Merchant Cars <br /> .en ro Ian YOU. THAN( YOU' <br /> 600,41414/ <br /> l . ri + CITY a EUEIE POS CITY OF EUGENE POS <br /> 1820 ROOSEVELT BLVD 1820 ROOSEVELT&w <br /> £( IE. OR. 97402-4159 (LODI. CR.2978402-4159 <br /> 591-6824812 <br /> REPRINT <br /> REPRINT <br /> Co"' <br /> &do • ' Phone Order P one Order <br /> t000atonal969 <br /> VISA Entry Method: MahalVISA Entry Method: Mane! <br /> Total: $ 60.00 Total: $ 115.00 <br /> . x 82'2V18 89:89:81 02/2448 14:33:38 <br /> Pr <br /> Inv II: :::::sc: Ur Cole: 159142 Inv II: !tit;,;t Par Code: 391753 <br /> Pl ; eared; Online korvd: Online <br /> AVS Code: AVS Code: <br /> CVY2 Cade: M4ifH M CW2 Code: IWiCH M <br /> I aunt, to Pay above total aaounl I agree to Pat above total amount <br /> according to card Issuer agreement according to card tower agreement <br /> • (Merchant agreement If credit <br /> .mailer) em <br /> r) (Merchant agreement if credit voucher) <br /> M �llA <br /> _ Cd+ X-AL12u_IS _al <br /> M.,a..nt Cog. <br /> Mei e.u.t Eno. <br /> 2. - '".-Si} _ THINK YOU( InNa YUP <br /> 1631: CTL/) <br />