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--ii 1( 5 I ( I S/ F b . 1 <br /> Clry OF Brat POS <br /> ROOSEVELT BLW CII'!01 EtKEI[FOS CITY OF ELOPE POS <br /> EUGENE. OR. 9792-4159 1620 rexavar BLVD 1820 ROOSEVELT kV <br /> 541-682-4812 cwt. OR. 97902-9189 ELCiJE. OR. 9i <br /> 691.682.9812 691- e12-918y <br /> 07v3L18 22:32:84 682-9012 <br /> IOT .S BE r REPRINT REPRINT <br /> Flacon Phone Order ane' a der <br /> Card CM. Sale P.-o.o rota) <br /> VI S M.BO B.00 736.1341 :rig anuaa1un3276 <br /> sol. total: 735.80 VISA Entry hthod; Ilenlal VISAEntry Method: Ilallal <br /> T"'' 73610 <br /> Total: $ 165.00 Total: $ <br /> 40.00 <br /> 07/31'18 16:27:56 87'31'18 14:16:53 <br /> Inv I: :ssr1 s. kw Code: 862719 Inv p: s:s,:s:sT pour Code: 'u, <br /> potrvd: Online Aoorud: Online <br /> C1n ms:OF ElP38 AVS Code: AVS Code: <br /> ate . OR. <br /> 6Lw CW2 Cock: IYI,CH II CYV2 Code: M1Q1 II <br /> li O <br /> EUGENE97902.9159 MI <br /> CH <br /> 87,31/18 22:32:18 <br /> I agree to wr above total amount I mares to oar .bo{r total moan[ <br /> according to card !ewer a,reeaent <br /> according to card Issgr eeriest <br /> 1 <br /> Prrn lYirt OW (Merchant sP•ee.ent If credit moocher) (Merchant agreeoent if credit voucher! <br /> Batt,Nue: 563 ' u '`(�' -1r'-n {' <br /> Rost 14.e: Elaron x. ib x , s.(ifr l (J <br /> Merchant: 1 <br /> Salsa 5 t 735.via <br /> N(1 Merchant Copy <br /> COOT <br /> Total S $ 736.00THAW YOU! <br /> YOU! <br /> Settle*nf Sirraccr..l <br /> AP, .3.-20 + <br /> ?, .JO + <br /> ..02 in OF moa€ <br /> inn NCOSEYELT BLVD POS Ciiv OO EtWE Pus <br /> 3026 RtEVFIT!LVD <br /> TIME. p1. 97982.9189 EUGENE. OR. 97902-4189 <br /> 591-6029012 641-682-912 <br /> 144. <br /> O:. :p + REPRINT REPRINT <br /> 01 Phone Order <br /> 411110 <br /> Phone order <br /> uuaanocuz9871 naoa0000aoo 6761 ' <br /> WS_ 40.00 + VISA Entry Iletkd: Ilarua! YID / Entry Iktkd: Manual <br /> 7Oi_..,""'° Total: $ Total: $ 40.00 <br /> 90.00 <br /> 40,Ooo <br /> 8141'18 11;03 87'31'18 11.82:20 <br /> ;-I-.T e9 • O + Inv N: sa;sssr Apar Co*: 831194 Inv l: '::::',1 kw Code: 251563 <br /> a,jrrge. ! korvd: Online Acrid: Online <br /> a feta AVS fad, AVS Code: <br /> CVY2 Cade: M41CH h : CW2 Code: K11O1 h <br /> ---> <br /> 1 1*tt to Oar above total mount <br /> - I agree to oar above total amount according to card issuer areeaent <br /> (Merchant re.nt if credit watts-) <br /> PAIL' <br />'I . <br /> accordin <br /> JLaccantng cad iar eirenentlMerrlant artwent If credt voucher/ <br /> + �/ � n <br /> i dal-GhcQ- �i'(td <br /> x /31:5 <br /> 3 endz. eF720 <br /> nee[halt Cour Merchant [coy <br /> • DPW you! INA* Y00! <br /> l. * 7 .no * <br />