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16075
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16075
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Last modified
3/22/2018 1:06:54 PM
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3/22/2018 1:06:53 PM
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Il <br /> f ., ._is >lf • <br /> f <br /> CITY OF E11UGIGENE P05 CITY Or DAVE P05 <br /> 3828 NOEBLVD Or ELUTE PGS 1820 ROOW.(LT BLVD <br /> MBEOM. Ott. 97182-4359 B ROOSEVELT BLVD EWE. OR. 97182-1159 <br /> 691-682.4812 EUGETE. OR. 97902-4159 511.682-9112 <br /> I 591.682.4812 <br /> REPRINT REPRINT REPRINT <br /> Phone Order Phone Order Phone Order f <br /> noaooaooamdi884zuzsancconamoonooaoaz6181 <br /> I%1fRCAPD Entry Method: Mond VI$p �� Entry?kW: Jinn! VISA Entry Method: Mama! <br /> Total: $ 60.00 Total: $ 100.00 Total: $ 60.00 <br /> 03/21/18 09:45:45 03/2118 13:18:36 <br /> O3618 13:11;18:11:18 <br /> Inv d: :::::c Noor Code: Me Iva: s;ssss Ayr Code: 16658? INaorvd: online for Co*:CdeH5? <br /> Aaorvd: Online Pond: Online <br /> AVS Code: NO Code: AVS Code: <br /> CW2 Code: NCH M CW2 Cade: MOM C Cade: MATCH M <br /> I we to oar above tool moan. • <br /> I agree to Are above total meant <br /> according to cad least anew* 1 are to oar above total amount according to card issuer aereiment <br /> (Merchant a e ment c(credit Toucher) accerdlM to earns:: Tower aseemenf <br /> (Merchant asrrtment if credit voudmrl <br /> It.rctynt a9newnt 1( credit Tanherl <br /> XIIgy6 pr - X 4qr xl)'\t\ o(Pc <br /> Merchant Can Merchant car ...chant Cool <br /> 1)YH( MD TWIN Yt91t Ili* Mt <br />
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