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22718
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22718
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Last modified
8/20/2018 11:29:24 AM
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8/20/2018 11:29:24 AM
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8 i I 0 /1 St/- <br /> CITY Or tUDIE PUS <br /> 1820 R80Sfltt1 BLVD <br /> fitt <br /> EU . OR. 97402-4159 <br /> 541 6[2 4812 <br /> *lulu 22:32:05 <br /> JOINS PPM . CITY a MINE PUS <br /> 1820 ROOSEVELT law <br /> CITY a WAN POS VW*. CR. 97402-4159 <br /> Elauoo TWEN .. 974112-•40159 541.6 4012 <br /> 541 682 4812 REPRINT <br /> Card Cnt sale Promo lotal REPR T <br /> • <br /> VI 3 115.88 0.00 115.6e Phone Order <br /> 5.1e total: 4 115.W <br /> Total: t 115.00 Phone Order - xxz>oamoma19978 <br /> xxxxx=oa4538 VISA Entry Method: Manual <br /> VISA Entry Method: Mail Total: $ 40.00 <br /> Amount:$ 150.00 G81fYld 12:49;49 <br /> CITY U EUZIa POS <br /> \ 1&It"V. "4111111359 Tax: $ Ire I: Ktiiti003 Aper Ca: 20726? <br /> EUiP¶4 aa. 1Total: $ 150.00 Pond:d: Onliro <br /> .i1 6t72�i912 AVS r-,• <br /> : <br /> \1 COde <br /> 08,10,1btvib ez.32:1a i8/10/1B10Y16 03:26:6 <br /> SEZTIEIENT REPORT QInvv I: 1;; ;;;1 kor Cock: 091939 CYV2 Code: INiCN M <br /> Batch Mm: 569 A4aItot�mri-:,-Chloe I agree to oar above total amount <br /> Host Pro: Elavon NS Code according to card issuer agreement <br /> Merchant: 1 ryngqMv, -J' MOM <br /> ry� thrchant averment if credit vouharl <br /> Salm 2 6 196.00 CYIL Code: M O M <br /> Total 3 t 1 .80 <br /> I agree to w• above total amount ft <br /> X �l(/'a� <br /> Settleseet Succrafu 'Merchant <br /> warding to card . credite*cement <br /> ouhe <br /> i Merchadt agtoecard if voucher) <br /> f606 569W11g132 /a J` 4 <br /> ' 3S M <br /> Me AW COPY <br /> X <br /> IL/ 1}I If MAW IOU' <br /> ItircI.nt Coin <br /> TWO YduP <br /> Pb 15 + <br /> -11 �--• 1`820 ROOSEVELT w 1 <br /> 5_ <br /> * WOE*. R. SN-4159 <br /> ..— REPRINT <br /> MSY. 4}•x'0 + <br /> 'x!01 Re Re und <br /> zxnaxxxx.e. 994 <br /> 5:.. 0 + VISA —Intl;Method: Manual <br /> 4- •7c + Total: $ 75.00 <br /> 702 •• BByI&18 ll:33:29 <br /> Avvrvd: Online <br /> 0. * <br /> I air* to sur above total amount <br /> (t ,m . rcarntn. to nerd issuer it voucnt <br /> her) <br /> Ml1Y �c } 114rdunl N-ewnt if credit vouclw'1 <br /> e��AA` �__ ,t{/c <br /> i1 M11*01 L�! J <br /> „.., YQI1 <br />
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