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5(91 ( 5 (-) , Z <br /> . <br /> CITY U WANE P05 <br /> 1920 ROOSEVELT an' <br /> CITY 6 EUGENE POS EUGENE. EM. 974022-4159 <br /> 1820 ROOSEVELT ave 541-682- <br /> EUGENE. 02. 97402-4159 REPRINT <br /> 541-682-4812 <br /> �: � Re <br /> Phone $ der WI_u l , <br /> coocco >ml92 VISA Entry Method: Mahal <br /> VISA Entry Method: Mantel Amount:$ 75.00 <br /> Total: $ 115.00 Tax: $ 0.00 <br /> 12:8:21 Total: $ 75.00 <br /> I .it: ;;;r tour Code: 97 ;; 00A618 14:20:17 <br /> Avarvd: Online Irri ii: <br /> AVS Code: Aoor,d: Online <br /> CVY2 Code:MAIN M <br /> 1 awn to oar above total sweet <br /> I agree to sae abe.e total sweet acccrdine to card issuer orreesent <br /> according to card issue' agrefaent (Merchant artesent if credit voucher/ <br /> (Merchant e{M1eeent If credit voucher/ <br /> Merchant Cur <br /> Merchant Coo. IMRId(YOU! <br /> 1NA+ VCM! <br />