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ni- <br /> __________ <br /> Lilt Of Wilk FOS <br /> 1820 ROOSEVELT BLVD CITY OF half POS CITY OF EUGENE POS <br /> EUGENE. OR. 97902.9159 1829 ROOSEVELT OM1820 RODSE.VEL1 TIM <br /> 591-682.9812 EUGENE, CR. 97902.9159 BADE. CO. 91982-9169 <br /> 13648/18591.682 4812 591-682.9812 <br /> 22:32:04 <br /> !OAS REFORM REPRINT REPRINT <br /> Elavon Phone Order Phone Order <br /> Card Cnt Sale Promo Total Econcoo013142 toncCUapa16513 <br /> VI 5 178.00 0.80 179.89 ' VISA Entry Method: Ilarual VISA Entry Method: Manual <br /> Sale Total: $ 178.88 <br /> Total: 178.00 Total: $ 40.00 Total: $ 15.00 <br /> 664&2 13:41:835 064248 16:11:43 <br /> Ire p: ''s.t: t or we: 's:✓i Inv 1: ':ria::. Noir'Code: 061143 <br /> pOvrvd: Online poo-vd: Online <br /> CITY ' EUGENE POS I AVS Cade: INS lode; <br /> 1820 ROS ROOSEVELT�B1 , I CVV2 Code: MORN M CVV2 Code: MICM M <br /> E„ <br /> 591.682-9812 <br /> I Agree to par above total mount I agree to oar above total amount <br /> Ofy84,18 22.1.2:19 accordingto card lower agreement according to card !MAC women! <br /> :Merchant agreement if credit vauche^) (Merchant agreement if credit voucher) <br /> i, a� �, X13 <br /> h7 P ; i7 , , <br /> 1. <br /> • <br /> lila , <br /> fit f \ <br /> • <br /> r ' <br /> Cif'? Lf EU:tnU TOS CITY OF IU,t f05 CITY Of MERE P05 I <br /> 19Ni aLI4 E.' 27.D <br /> 1520 RCCSEVE.T BEng 1820 . OR. 97T BLVD <br /> EWEN09 3'::¢ 9:SS EUSEMt. OR. 97902.9159 EUGENE. -6. -78112-9158 <br /> S41 ;, r :P.2 - ..r. 591-682-9832 <br /> inREPRINT REPRINT <br /> '.9 one I. eer RefundPhone Order <br /> �301J ten.,, : oc6 <br /> .. ; ' racce 64 <br /> VIM Entry Method: Manuel VISA Entry : Mama VISA Entry Method: Markel <br /> Total: $ 100.00 Total: $ 25.001 Total: $ 40.00 <br /> 1(4848 15:31:23 0648'18 16:13:41) e648'18 11:23:11 <br /> Inv O: ":"c par Cade: 81,•:. Ing H: ttssii,s' / Ing d: 'artssrt Poor Code: „ ;.1 <br /> Atoned: Online porrvd: Online *red: Online <br /> AVS Code: MIDI <br /> NS Code: <br /> p�Code: MIDI M I eft to mar above total amount CW2 Code: Illil/l M <br /> 6YiCaccording to card Issuer agreement <br /> re <br /> (Merchant amen: if credit voucher) <br /> I en to oar thew total amount <br /> I agree to oa, above total mount <br /> according to crd isomer ssrenent (/ according to card Issuer agreement <br /> (Merchant <br /> aern./ent if credit voucher) -� (MerchantGagreement if credit voucher) <br /> X <br /> I\I V 11 v9 —_ I i t Meectant Cony 1, IL� 71g <br /> A ��m'^^�--����e\11,1 area Ct. <br /> • <br /> Merchant Com. ., 1.,..1 4.m <br /> •l Uvea. au, I <br /> t fr Mi.14 1 I <br /> 1 , t 'J r' r 1.1. <br /> 11 1 t <br />