5122(I <br /> • <br /> CITY a t1GElli FOS <br /> 1820 ROOSEWL1 Blue <br /> EUGENE. OR. 97402.9159 I <br /> 591-682-9812 I CITY Of EUGENE GM1820 ROOSEVELT kW <br /> 05,22,18 22:32:87 I Q. * 4812 <br /> EUGENE. R. 92 9159 <br /> .991 <br /> 101A!S REPORT REP' NT <br /> flaw 0o1 “,. - - "-“, <br /> + <br /> s. R.Y2 <br /> 001 • >- • Phone order <br /> Card Cnt Sal. Vro.o Total 150.04x <br /> VI 2 155.80 0.00 165.88 SXSu xutot15901 ''I <br /> It I 60.80 0.80 WOO _ 15.00 + MMSIERCORD Enter Method: %al <br /> Sale Total: $ 225.130r ofTotal: $ 60.00 <br /> 225.00 '• " <br /> Total: $ <br /> 15.00 <br /> 0518 12:26:54 <br /> Inv 1: sa"s,: Ur Code: 412261 <br /> 6o•iii + <br /> uo1 . - Avivd: Online <br /> car a EPDS / W 6;1•;:0 AVS Code: <br /> 1628 RCOSEVELT UELT BLVD C CVV2 Cade: I111CH M <br /> EUGENE. OR. 97402-4153 <br /> 541-6W-4812 o• <br /> I agree to on above total /mount <br /> 8542,18 22:31:59 (Merchant <br /> according to <br /> if credit voucher)suer <br /> SETIIEIUI1 REPORT 150.00 + (—(7-- <br /> WM <br /> tdf su: 519 15• 1 + A y /✓ i aL <br /> Rost Rove: Elsvon 8(... <br /> ( 1' I /��fl <br /> MerUlant: 1 <br /> Sapless : 3 $ ??3.84) 00'3" . ,, Mrctw�t Cagy <br /> Total 3 t ?15.08 :25•:0 MOE ttUl <br /> Settlement Successful r <br /> (b&* t.I41n2Ail 32 <br /> alit u tu2Nf P(35 CITY (f EUGENE FOS <br /> 1120 RG)SECEI I KW 1628 ROOSEVELT&.VO <br /> TWINE. L12. 97482-4159 Watt. OR. 97402-4159 <br /> 541 682.4812 541.682.4812 <br /> RE'RI REPR <br /> Pho e Order P one Or•er <br /> etcwoucan1635 rwauxuu(2148 <br /> VISA Entry Method: Mxal VISA Entry Method; Manual <br /> Total: $ 150.00 Total: $ 15.00 <br /> 1542'18 15:34:24 05/22,18 14:05:53 <br /> Inv 1: s;r,su: Poor Code: 112243 Inv 1: i's au:,Y Aar Code: ';c•:18 <br /> Aomvd: Online ' kervd: Online <br /> AVS Code: NS Code; <br /> CVV2 Code: MATCH M CVV2 Code: MAICM M <br /> I am to oar above total .mount I agree to Pay above total amount <br /> according to card Issuer averment r <br /> according to card Issuer aenent <br /> Merchant agreement of credit voucher) (Mrchxagreement2 agreement of credit voucher) <br /> x a 6.1 / I/15— ► x w + 4 (10 . <br /> Merchant Croy t4rchant Croy <br /> 111W( Y It TIW&YOUI <br />