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15856
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15856
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Last modified
3/16/2018 11:32:43 AM
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3/16/2018 11:32:43 AM
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CITY OF EOTEIf ROS <br /> 3 / 1 '5iS K <br /> CITY OF CLIME POS 1CIT ROO�Eval BLVD <br /> CITY Of ROOSEVELT POS 1820 ROOSEVELT aw 11620 OR. 97902.9159 <br /> 1820 ROCt 974 BLVD EUIE E. CR. 97402-4159 5.11 R.Kt 7412 <br /> EUGENE. a6. -412-9159 541.562 4812 REPRINT <br /> 541-682-4812 <br /> 03,13,10 22: 2:® REPRINT <br /> OAS M1 Phone Order Phone Order <br /> Elam uluuzuu 4 <br /> =.,• VISA Entry Mw~Jwd: Mania! <br /> Crd cnt Sale Promo lata, VISA Entry Method: Marva! <br /> v1 z 116.10 1.11 115.10 Amount:$ 15.00 <br /> i 96.00 a.R1 93.01 Total: $ 100.00 Tax: $ 0.00 <br /> Sale Total: 9343/18 <br /> Total: :� 09:17:13 Total: $ 15.00 <br /> by 1: ss st et;1 Cede: 9141/8 12:42:19 <br /> AFDrvd: Online 834348 <br /> AVS Code: Iry t s, s;s:sc Poor Code: 883312 <br /> C'N2 Code: NU II Axed: Online <br /> CITY OF WOE r05 AV5 : <br /> 1020 ROCO. 970 2Ew I Mete to oar above total amount f1tlM Code: �I�„ <br /> E�54i 632-4012.4359 according to crd tear n-east CW2 <br /> (Merchant a9-eerent if credit voucher) <br /> /- `V 1 3q s are to or above total amount <br /> OLli,ld 22:32;13 11J -L. according to card Issuer agreement <br /> V (M/eerrc'hant asreeaent if credit <br /> voucher) <br /> Bah 5','•T 1— Mrrchanl Cmr M ! /) `� i/ //Most Mame: Elevon �'—'- <br /> Merchant: 1IFW4 YOUtSale 32in6;1) <br /> M<rcMd Cmr .To 3 _-- <br /> Settlement Successful( <br /> ['BOK 46503140132 <br /> 13020ROOSEVELT OF Emot Q. <br /> EIKEI54 OR. 97402-4159 ,g <br /> 591.682-4012 �-y` <br /> Cb <br /> REPRINT "' 0 + <br /> :0 . . r . <br /> Phone Order 15° 0 '^ <br /> xu aa648 - ,;, 0 + <br /> MASIERCH Entry Method: ManualOt '�' <br /> Total: $ 90.00 9. •'0 2 <br /> 03'13'18 11:21:31 --...>.....--- <br /> Inv 1: Iss,sss:, PP-Code: 821236 - .-3 + <br /> Axrvd: Nine '0: <br /> AVS Code: I <br /> CV42 Cade: MAICH M <br /> O. <br /> I agree to oar bare total amount <br /> arca-ding to crd issuer aree.een! <br /> (Merchant avreenent if credit voucher) 15C0 + <br /> / <br /> • % : 1I.4tI/ • f. 5_ __ t •'0 + <br /> n3• <br /> Merchant CootTHOM VOW '7: I J'S e.-r: <br /> lv N. <br />
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