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17768
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Last modified
5/3/2018 9:41:52 AM
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5/3/2018 9:41:50 AM
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C1/17)C7/1 'C' 1) $9---- <br /> CITY Cr ELGElt P85 CITY a EUGCNE P09 <br /> 1820 600Sf.EL7 BLVD 1820 ROOSEVELT BLVD <br /> MEM. OR 97482-4159 ELGEhE. CR. 97982-4159 <br /> 541.662.4812 991682.9812 <br /> REPRINT REPRINT <br /> Phone Order Phone Order <br /> coom naxx8167 ;oaomamoa8161 <br /> VISA Entry Method: Manual VISA Entry Ikttod: Natal <br /> Amount:$ 37.45 Amount:$ 37.45 <br /> Tax: $ 0._00 Tax: $ 0.00 <br /> Total: $ 37.45 Total: $ 37.45 <br /> Inv II: s;a,s. 16:23:O2 84'ii18:: 16:22:13 <br /> Ow Cede: a,s I floor Co&: .:... <br /> Aoord: Online Axrvd: Online <br /> AVS Code: AVS Code: <br /> I nee to w. above total amount according apse to Ma above total amount <br /> according to card Issuer apyeeen according to card issuer as-Racnt <br /> V (Herchr�t`�It �1 (Merchant credit voucher/ <br /> Merchant Coov !terJ i t Cony <br /> tiwec VOW In* YDD! <br />
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