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5 is '571 S <br /> 1 ?5, ( g2— <br /> CITY IK L EnE FOS CITY Q EIRtTE FOS 1CCl Ty a c ELTEBIW <br /> lea . OR.ROOSEVELT74 BLVD 1828 ROOSEVELT BLVD 312 E1820 k OR. 97982.9199 <br /> MEW. 0f1. 97982-x199 WOW. DR. 97902-4199 541-502-0612 <br /> 7812 <br /> 971-682-7812 591- - <br /> 86.19.18 22:32.D9 REPRINT REPRINT <br /> FRS OEPgIi Phone Order <br /> Elavon Phone Order <br /> Card Cnt Sale Oram Total t nx2S28 tnlnooamz$413 <br /> WI 3 170.80 9.68 179.89 <br /> YISA Entry Method: Manual VISAEntry Method: Manual <br /> Sale Total: $ 1,1.08 Total: $ 100.00 Total: $ 15.00 <br /> Total: R 178.09 <br /> 85 18 16: 45 61548 14:18;48 <br /> Inv A: ;as^t par Code: 884TH Inv I: ;;;+s:;' par Cade: 837298 <br /> pocrrd: Online pared: Qnline <br /> AYS ; AVS Code: <br /> CDf Evas CW2 Cak: ? 1Ql M CYY2 Code: ISO M <br /> 1829 ROOSEVELT VELT BLVD <br /> OWE. 97702-7169 <br /> 541-682-4812 I Gree to oar above total amount I agree to oar above total amount <br /> according to card Issuer asreament according to card Inter areount <br /> BSr1Y18 22:32:37 <br /> (Merchant areeamt if credit voucher) (Merchant g to ant if credit ewer) <br /> Soh Nom <br /> r X C G— — +k 1 S x rGt�'r ►v f <br /> Batch Nn: 609 '�"-- <br /> Host MetNaar: Ellison in--.Merchant: 1 Mruhant Copy /C.r <br /> Merchant Copy <br /> Sala 3 $ IAB.Bb THAN(`.WI I1 W(VWI <br /> T • 3 $ 170.09 . <br /> Settlesent Successful <br /> 990(58985168332 <br /> CITY 81 £IGERE FOS <br /> 18213 ROD6EVF'L7 81V0 <br /> EOff7E, OR. 97482-41b9 <br /> 591.682-7812 <br /> REPRINT r <br /> ;I� .o + Phone Order <br /> .,Ir i ,--1 roocaaaa:1793 <br /> VISA Entry Method: Manual <br /> n� ��i 15. t + Total: $ 55.00 <br /> oe :5a'^ + 85/15/18 13:46:. <br /> 02 Inv ll: iii mil par Code: 511813 <br /> 77.1r. <br /> pend: Online <br /> NS Code: <br /> 1 0 + CY42 Code: MpICH M <br /> 7 .• -e + <br /> I chant to oar atoie credi au <br /> 02 according to cod issur areeaevont <br /> * (Merchant sgraemnt if credit vouch <br /> rr7 <br /> 44 <br /> j X 'it.n\0 al to <br /> „techant COPY <br /> IME YOU! <br />