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15857
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15857
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Last modified
3/16/2018 11:34:35 AM
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3/16/2018 11:34:34 AM
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PW_Operating
PW_Document_Type_ Operating
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3 / (6___A 8...__ <br /> j f� <br /> Cl1Y Cf naa-K POS ' CITY 6 EWE /U <br /> 1820 ROOSEVELT 111-VO16 <br /> 828 RUS!'h1 <br /> EUGENE. OR. 97402-4159 E1 , CR. 97402-4. 4 <br /> 541.682.4812 541 682.4812 <br /> - -• -o + REPRINT REPRINT <br /> D + Phone Order j Phone Order <br /> 5• � + VISA Entry t} d: Manua r zxnxuxzts Entry Method: Manual <br /> 005- <br /> 3x5•'0 Total: $ 40.00 Total: $ 185.00 <br /> W15/18 16:13:25 84548 11:54:24 <br /> 0 Y <br /> IN A: MOOT Apar Code: 815131 Inv 1: %axt PP- C e: E46 <br /> 4:• 0 + <br /> Pond: Colin' Aaarvd: Online <br /> L1- AMS Code: VS Code: <br /> t 95.,:0 + CW2 Code: MATCH M OM Code: MATCH M <br /> ^02 /,25•_0 * r Garet to oar above total Haunt 1 agree to oav stave total aunt <br /> t <br /> ercudtM to cent issuer <br /> credit <br /> aa'teaent .Ccl t to eerd taa.+er avteae <br /> `— -- <br /> Merchant caro eentcord tf credit eesent l 111ercNnt Mtexnt if credal varcMr) <br /> C Oe M 912 ski% <br />
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