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15625
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15625
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Last modified
3/9/2018 8:52:50 AM
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3/9/2018 8:52:49 AM
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3 ! 7t8 <br /> 1 <br /> CITY OF EU-,ERE 905 <br /> 1820 8005EYCLT BLVD <br /> EOCflt, CR. 97482-9159 <br /> 591.682-9812 <br /> CITY a FUTf/E 905 CITY a EUGENE 905 <br /> 0340748 22:32:04 1820 ROOSEVELT BLVD WOE, <br /> RCOSEYELT 8Lw <br /> itOE, U1.,97902-9159 <br /> Molarl EUGENE, O5 97912-9159-4812 591.6824812 <br /> Ill E, OR.R97402 <br /> Elam REPRINT REPRINT <br /> Cad Cnt Sal. Prow Total Phone Order Phone Order <br /> Yl 1 15.00 8.00 15.0xm <br /> Ili. 1 108.00 0.00 100.80 %> IJ70 utaxxxion8149 <br /> sal. rotas: $ 115.98 VISA Entry Method: Manual EOM Entry Method: Manual <br /> Total: $ 115.80 <br /> Total: $ 15.00 Total: $ 100.00 <br /> 6341'18 14:38:19 83'0148 16:51:3)3 <br /> Inv A: " Poor Co*: 012411 Inv N: ^u;;v for Code: 342468 <br /> Poorvd: Online torrid: Online <br /> 1828 <br /> CITY a EUGENE 905 Aly Cod! AVS Code: <br /> CtrEUGENE.. 0OR 9 9 9 7 794 12 9-w-9159 <br /> 541024812 C1N2 Code: MATCH M CVV2 Code: MATCH M <br /> 0341.10 22:12:18 I earn to oo ton total amount <br /> FR <br /> C�(y CRT I an to w. *boa total amount according to co-d tomer aveamnt <br /> SE1TlEIE11I CRT accardtna to card issuer awe•wnt lerthane if credit auche l <br /> tlNrchant amretamnt a credit voucher/ nt <br /> 45/ <br /> Booth <br /> Host Naar Ela von <br /> Mo-chant: 1 v Altfl ! . h / <br /> M CG 1 4 <br /> _ <br /> Sal.s 2 $ 115.80 <br /> 4..h..,t CWv <br /> Total 2 11 .Ip Merchant Coo. <br /> TT** YWt <br /> Settlesent Successful nun You, <br /> WE 96193008132 <br /> W1— 15.00 + <br /> 001 <br /> '5.00 <br /> 1.0.00 + <br /> 1 • <br /> ^0.00 <br /> 15.00 + <br /> :9 + <br /> 002• • (5.00 <br />
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