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16794
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16794
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Last modified
4/6/2018 1:04:12 PM
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4/6/2018 1:04:11 PM
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1 (0 q-q H <br /> LI 2-- ( 1W <br /> CITY 6 OWE POS <br /> 1.29 NODSfl974 BLVD <br /> . <br /> OEM OR. 97982-4159 <br /> �l-Ny.4el2.ct:,• 591-682-4812 <br /> 0 " REPRINT <br /> 1820 ROOSEVELY OF T VD Phone Order <br /> EUGENE. OR. 97482-4159 <br /> 541-682-4812 X935 Phone Order <br /> e4iW1e 22:32:01 VISA Entre Method: Manual <br /> TOTALS BEF T 100xato°°" <br /> Total: $ 60.00 VISA Entre Ikthod: Mahal <br /> Elawa *18 16:37::�588 Total: $ 60.00 <br /> Promo Cad Gat Salt Total Inv p: :lr :::'r Pm Code: O?5958 <br /> Wirt 11:34:21 <br /> VI 4 329.60 0.W328.BB ftorvd: Unline Ina t: "',rr�:; kg.Cade :AMO <br /> Sale Total: a 326,96 p-1 "' <br /> Total: 5 326.60 Code Acr.'d: Online <br /> C V7 Coe: MIDI M AIS Ca: <br /> Nle 6: 1411 <br /> I agree to oar above total laount <br /> according to cord rawer agreeaent <br /> CITY Of EUGENEPDS <br /> Okra-hank if credit voucher) 1 •o-to to oar aba.e total rroant <br /> 1626 ROOSEVELT&VDBerardino to ea-d e>auer neteaed <br /> EIKEIE. OR. 97482-4159 1 ttrchat%taint if credit .race r/ <br /> 991662.4812 rV/ (/,(` <br /> - Se 3gr3 ra <br /> 0,424919 <br /> SET1UIEN so Merchant COPY <br /> Botch ISa' INC YLU ` Nerch..t Cora <br /> Pot Nate: flown \ Ws YOUI <br /> 410004 Merchant: l <br /> fi32ChkM3 <br /> lt> <br /> 5 —4 Rg ��_.--.... <br /> Total 4 <br /> Settlement Stutsful CITY or MIR POS <br /> a7uM9A13? lea ROOSEVELT BLVD <br /> GBOM ELEM. OR. 97402-4159 CITY Ca &u 't PDS <br /> 541.682.4812 •829 ROOSEVELT I&tD <br /> IOW*. RF. 97402-4159 <br /> REPRIN SS41-682.4612 <br /> R 'RINT <br /> Phone Or.er <br /> :a000alanac191? Phone Order <br /> 60.00 + VISA Entry Method: Mahal toau>o car1911 <br /> M lootoo + VISA Entre Method: Mahal <br /> 10ot00 + Total: $ 100.00 <br /> 6 53too 84218 13:52;8? Total: $ 100.00 <br /> ora a r a v a. . ... Ire A: s ":aY Awe Code: 51288? 844248 13:52:47 <br /> 320. 0 * pruned: Online Inv M: '.'.'.':'.',;t {per Code: 615553 <br /> AVS Code: tont Online <br /> CW2 Code: ?MI M AVS Code: <br /> CV12 Code: VCCH M <br /> I arae to ear above total arrant <br /> according to rad Muer aeretaeM to oar davit total arra.! <br /> Ilkr <br /> nirnt aeeaent If credit voucher) 1 sorer davit <br /> according to cord issuer(Merchant Crrteornt <br /> u flkrcat agent if edivoucher)t <br /> 16- (AM <br /> , 7 <br />. Mei thant Coo/ <br /> TWIN YIAII t4i.lw.t Corr <br /> tide oW' <br />
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