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2_1(� 1�.,pt)fe (it v( <br /> CITY(rt EUGEtE POS <br /> C11Y Of EVELT W Y a Etta POS 1820 ROOSEVELT EYEET BLYO_ <br /> 1020 ROOSEVELT 97T&VO1 820 ROOSEVELT 0'-w E18 OdlV97LTTRR Ols9 <br /> EUffIF. OR. 97002-0159 EUGENE. <br /> 182948112 al / <br /> 12 <br /> 541-682-4812 ` REPRINT <br /> REPRINT REPRINT ' <br /> Phone Order <br /> Phone Order I Phone Order <br /> 2ooa000aE696 <br /> VISixznom z�81 VISA'0 °°°°� Entry Method: Manual VISA Entre Method; Manal <br /> ISR Entry Method: Maul 60.00 Total: $ 25.00 <br /> Total: S 40.00 Total: $ X18 11.41,39 <br /> 85V18 14,OI:3� �:%: sssssss, for Ca: X1895 <br /> 0118 Imp tl: <br /> Inv II: ;ra 1 ssH3 kr Code, 821218 I Imo; Online I Of Code: 1214°2 inv 1: Online <br /> Rvalvd: Online AVS Code: <br /> NS Cade: MIS Code: CVY2 Code: IIRTa1 M <br /> CW2 Code: M D M I ON2 Code: MICH M <br /> "�f 1 awn to oav above total amount <br /> I awn to oav above is total mount 11 I corde to oac rd 1,total naenmount according to card issuer asneamt <br /> according a tore mend if cre itrearnt (Merchant agreement if credit voucher) <br /> arcmdtm to card issuer itrvoamt (Merchant agreement if credit cumber( /v��yJ/� <br /> (Merchant agrewnt if credit voucher) V C� r�1,1 '( 11 y . P �') 6 <br /> 4-4 <br /> % s,I_ l '1U 1 WIA A <br /> Merchant Coon / <br /> Me <br /> TIM(YOU! CI IV u Lab*DOS <br /> 1C828 ROO�SEEV BM 1820 ROL:CvELT bLW <br /> BODE. CO. 9T492-9159 tj R. 97402-4159 <br /> 541.622-4212 <br /> P,EPR INT REPRINT <br /> C) SIM <br /> Ref Refund <br /> clly a EubLRE Dos <br /> Elana .148 7itl2�41 , ttteteteu,'il 10IX)�1 <br /> •1 Eaz•ulz VISA y Method: Mahal VISA Entry Method: Manual <br /> MEE REPRINT Total: $ 60.00 Total: $ 55.00 <br /> Refund t1 VI8 38:59:03 85 18 13:58:12 <br /> Inv tl: siInc tOnlne8 <br /> i <br /> VISA RPcrd: Onlinee tetrud: Online <br /> Total: $ 60.00 <br /> I agree to or above total amount I agree to nay above total amount <br /> arcardtm to card issuer Masashi(Meac ding to card issuer agreement <br /> t if credit voucher) (Merchant agreement if credit maMr) <br /> chant <br /> r.Sli:;1l � Ir! i�.i .v <br /> Inv tl: �� X _ _ . �_ _ �— <br /> ftl+Grud: Online <br /> 1 agrem to pay above total nount co v <br /> according to card :tsar aireement "-" .. <br /> (Merchant eoeemant if credit voucher/ .a.i ^1 <br /> ce ill <br /> X <br /> C fj� _,i{_ <br /> A a kk <br /> ,_ig z 7, 1 e 3/ c'I%) I 8 S <br /> Merchant COPY S] a,• i"i C 8 tt i-� — <br /> IfWa( TOW 'e a Isidajj b I t o <br /> u <br /> W ift II -II= 9}C �j <br /> alaY <br /> t .1 <br /> J <br />