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J e I g 1 I g ()5 • 9 <br /> • <br /> CITY Of EIIGEI( POSi CITY OF EUCEIY PC9 ,t CITY CF CLOD( POS <br /> 1828 ROOSEVELT BLVD 1620 ROOSEVELT %w <br /> EUGENE. OR. 97102.4159 £ _O€. a. 97402.4159 1828 ROOSEVELT BLVD <br /> 641.682-4812 541.694 4812 I E1XE1(. OR. 97402.4199 <br /> 541.682.4812 <br /> REPRINT REPRINT REPRINT <br /> Phone Order Phone Order 'hone Order <br /> MASSON Entry Method: Mahal Vlg Entry Method: Saulmaaaanoob8%VISA Entry Method: Manual <br /> Total: $ 100.00 Total: $ 60.00 Total: $ 60.00 <br /> 8349(18 10145 63'1948 16:15:16 8319+18 14:14:13 <br /> Inv is ;r;st, tor Code: 61919P Inv I: .: ":1 ADor Code: , lw I: h::'s;1t Aver Code: 941414 <br /> Avorvd: Online Amid: Onlina Caned: Online <br /> AVS Cade: AVS Code: AYS Coda: <br /> C4t2 Code: MATCH M CW2 Code: NOM CW2 Code: MATCH M <br /> I agree to mor above total amount I gree to mor above total *want [ en to asv above total amount <br /> according to card Tower aw' accordingentaccordingx <br /> to card Issuer aenen! <br /> (Merchant ag-eeaeat If credit voucher) (Merchant warn*nt if credit voucher) accrdi. to card if cr it voUcnt <br /> (Merchant asreeeent �( credo moocher) <br /> x UU# 03 M co A- ____ N C6- - A- (13A_ <br /> Merchant Con Merchant Con Merchant Coav <br /> 11.6.11(Ydlt naw YOU! <br /> TIWN YOUI <br /> I <br /> CITY OF ElQ1(POS <br /> 1928 ROOSEVELT BLVD • <br /> EUGo(. OR. 97482-4159 CITY OF EUGEI(Pa <br /> 541-682-4912 •82V ROCISEWLT BLVD <br /> REPRINT <br /> a. 97402-4159 <br /> REPRINT 541682-4812 <br /> REPRINT <br /> P .ne order <br /> uomoomata15 Phone Order <br /> VISA Entry Mentor: Maui unmxma1,:. <br /> Total: $ 25.00 VISA Entry Method: Mahal <br /> 931948 18:39:04 Total: $ 60.00 <br /> Inv I: te f, Axr Code: 966340 63188 15:45:21 <br /> fond: Online Inc I; -; s ;. Par Code: 614518 <br /> AVS Code: Aovrvd: Online <br /> CW2 Code: Ell M AVS Code: <br /> CVV2 Code: CH M <br /> I <br /> II are, to mor ab is total waw it <br /> according to card issuer itagreementhe <br /> (Merchant arnrnt if credit vouched I acne to mor above fetal amouni <br /> 0� ^ � eKrdtM to CNd lawwr Me•aen! <br /> (/J�/ (nrchant ereecard ci�rjedit vouch•V <br /> Itis b 11 <br /> Merchant Copy <br /> Treat Y0.1! Mei chant Cmr <br />