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(/ , I , CC 1g57(40 <br /> CITY W tuud NO <br /> 1528 ROCUVELT BLVD <br /> ELTaWE. OR. 97402.4155 CITY Of awe Y�Y <br /> CITY Of MBE PBS 541-652-4312 1828 ROOSEVELT BLVD <br /> ten ROOSEVELT BLVDEUGENE. OR. 9'!402-4159 <br /> ELCElOR. 97402-4159 R • . -1— 541.602.4012 <br /> 54 <br /> 541.682-4812 - <br /> 22:32:C6RINT <br /> • P <br /> 86/01/18 22:32:C6 <br /> S REPORT Phone i rder / —: <br /> Elaron bau1192 <br /> VISA Entry Method: Manual a 1e .14 <br /> ``d Cat s,1• Pray Total Total: $ 210.00 MASTERCARD Entry Method, Manual <br /> VI 2 T10.01 0.80 718.00 Total: $ 100.00 <br /> m 15.90 LS 15.08 x/81/18 16,28,43 <br /> Sale Total: 4 125.90 In/ d: ':''''Fac Pax Code: MI 86+81/18 09:87:28 <br /> Total: 4 725.,0 <br /> Amyl: Online lm It: sats ,. <br /> AVS Code: Aaavd: Online <br /> CVV2 Code: MATOI M <br /> I agree to w, above total amount <br /> according to card .suer arae..nt <br /> I agree to oar above total anount (Merchant areenent if credit w,xdxr) <br /> CITY CE POS acco-edlno to card aser aaret•ent <br /> 1820 ROOSEVELTZWLT raa <br /> «« M <br /> BLVD (Merchant snt If credit .a.cr) <br /> « o n OI1,07492-4159 �. ' <br /> , 1D --- <br /> �► : , <br /> •Rn----,-�,-;s-.n:.,--,.-.-..rr— <br /> 'Sad.h..� cit i <br /> hint War: [t,.cm <br /> nn'tLm 1 <br /> cotthuaant tgroco-.• .. <br /> Lal .: • •_• . I ."CITY OFf1Xalt POE i, .:; -9-#'hi{ y. 1B20Yfa);.>TSE. BLD eJ- q i [l `. <br /> , um RODSEW.T 0.10 7171ri�I WORK. OR. 974024159 <br /> amanmrOR. 97482-4159 � '' 541-682-4812 <br /> 541-682-4812 REPRINT <br /> 1 ,517 530.00 + REPRINT I <br /> 210.00 + Phone Order Phone Order <br /> 002•a•••'• 241.64...‘ <br /> xuucl:auz4 <br /> �710•C0 % aa9735 Vl&M Entry Method: Martial ' <br /> MASTERCT tat Entry Method: Manual <br /> 7 Bae Total: $ 500.00 <br /> Total: $ 115.00 <br /> a• 86R!/18 09:51:38 O6+0i-:S 16:31:26 <br /> 610•0O Inv t un;s;+ Avg Code: N267ll Ian II: bI Online <br /> Aoor Code: 611813 <br /> Rvccvd: Online Pond: Online <br /> . 115.00 + AVS Code: AVS Code: <br /> � <br /> QluCW2 Cede: MATCHCVV2 Code: MAICM M M <br /> :0'415.00I aart, to oar ANDY, total aaan! <br /> • above total amount nttocadFar <br /> accordant to card isms-agreement (MerchatatIagreementn ) <br /> (Merchant awarnt If a-,dlt vohctar) <br /> 0t * <br /> 610.00 + <br /> X n.&-. 1219z) L bt stet 11 <br /> 1 • + Mer, Merchant Cow <br /> A,nt Coo. C <br /> V100 <br /> THINK YOU, <br /> 725•:0 <br />