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/15/1S----- i 92X12-1 <br /> CI Pt a EUGENE P05 l <br /> 1820 ROOSEVELT&w <br /> LLGE E. OR. 97402-4149 <br /> 541.632.4812 <br /> 4(15,18 22:32.01 <br /> IONS RE➢ORI <br /> CI IY Of Lt10EQE PUS <br /> ElaVnn 1820 ROOSEVELT BLVD 'CITY u EUEIE POS <br /> Wilt. OR. 97402.4169 028 ROOSn'ELr&w <br /> Cad Ent Sale Provo Total 541-002 g0t2 E 54I 97 4812 Odd -4159 <br /> "' ' 196.66 6.60 190.00REPR-NT R P•INT <br /> It 2 265.08 0.10 265.00 <br /> Sale ILt•l: Phone Order <br /> ,oral: $ 455.00 Phone I •er <br /> 312 <br /> tag g Entry Method: Mmua1 VISA Entry Method: Ilarw1 <br /> EI lY a HARK POS Amount:$ 250.00 Total: $ 190.00 <br /> 1626 eft [L Lr&w Tax: $ 0.00 0045/18 <br /> /� EutF1E. m. 97402-4159 Total : $ 250.00 Inv I: : ; ti8:25: q <br /> 541-662-4812 <br /> horrd: Online : <br /> 6e015'ta MS/18 09131 NS Code: <br /> . SEiuIE1011 REPT 1.15 *rid:'Online o Nor Code: 815168 CVV2 Code: 1101p1 M <br /> Batch N.: 572NS Ccde: <br /> Hu,t Na..: Elavon I arae to oar above total <br /> Merchant: 1 <br /> OK Co*: MD M rc.rdlrq to coed„�,.+mount t <br /> Sal., ; $ 455.d0 <br /> (Merchant aerrnaent tf cred;t voucher/ <br /> Total : B 4 Ud i caretads to o c ,dove total 'punt V f -Fyn //� <br /> seconding to card Icr. +n-eewne 4 ` // <br /> Stttlelent Successful <br /> /Merchant.aree.ent If teeth! vooc5er) <br /> Ma 57110160132 V/1/ d'( r ?l <br /> �-.6ant Coo <br /> r <br /> INN Yqh! <br /> Mr Kant <br /> I <br /> INN9t Y <br /> Cllr t4 ROW PBS <br /> EleeasEN ROOSEVELT&V) <br /> .... _ -- 541-E4C-4812 59 <br /> Nb REPRINT <br /> 'hone xxoucoaca8909 <br /> ItSIFICIC Entry NOW: Manual <br /> Total: $ 15.00 <br /> 084548 <br /> Nor Code: 1130199 <br /> • <br /> Ncrvd: Online <br /> NS Code: <br /> CV Code: WI M <br /> I .w., to a. above total +.curt <br /> Ma..c.ca.d(na to c to <br /> anhr,h <br /> k: 7.--- /. -.3 4 <br /> G <br /> If..thant to., <br /> Rat m <br />