( 21S e <br /> Cllr OF Lae(WS <br /> 1829 ROOSEVELT BLVD <br /> (LLD€. OR. 9740241b9 <br /> 541.82.4812 <br /> REPRINT <br /> Phone Order <br /> xx Hama c8126 <br /> VIS4 Entry Method: Anal <br /> Total: $ 55.00 <br /> 06/11/18 10:32:14 <br /> Im Avor Code: 048258 <br /> hocrvd: Online <br /> AVS Code: <br /> CM Code: 1111111 <br /> I ,arra to oar above total aaant <br /> KeardlnV to urd <br /> {emit? ) <br /> flt <br /> Ohnhnt nraant {E andtt wKlwrl <br /> xcp► 'n b(30 <br /> tltrehrat Con <br /> THAW V03E • <br />