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22993
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22993
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Last modified
8/27/2018 10:47:27 AM
Creation date
8/27/2018 10:47:26 AM
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PW_Operating
PW_Document_Type_ Operating
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s.-19_6) lig" <br /> thy Or EUGEK PUS <br /> 1820 ROOSEVELT BLw <br /> OWE. OR. 97402-4159 <br /> 541-6824012 <br /> Uai48.18 22:32:86 <br /> IONS UCRI CITY if (VINE PUSCITY OF EUGENE POS <br /> 1820 ROOSEwtT BOO 1820 ROOSEVELT BLVD <br /> £t W. CR. 97402-4159 <br /> ElaVon BANE. OR. 97402.4159541-682.4812 541-682-4812 <br /> Card int Sale Proso Total REPRINT REPRINT <br /> V1 2 80.B0 8.60 80.80 <br /> Sale Total: * 86. 0 Phone Order Phone Order <br /> Total: I 88.0i0 <br /> ulamalloo 7634 mm« :a19ll <br /> VISA Entre Method: renal VISA Entry Method: Mand <br /> Total: $ 40.00 Total: $ 40.00 <br /> CTT. Ci MIA FOB �Y16 11:43:34 99/19/19 11:42:39 ' <br /> 1820 ROOSEVELTT BLVDoR. 97402-4159 Aavr Cod,: 183219 Inv I: ;s'•;;;;' Apar Code: 8!4249 <br /> 541 682-4012 Inv q; ;scs,ts:7 <br /> fond:-Online A Code: Or <br /> L8<Vrle 12:R.20 AVS LIAR: AVS NAc. <br /> AMBER REP0R1 CW2 Code: Mich M �, CW2 Code: MD M <br /> Batch hu: 575 <br /> Nowt Raft: Elson I area to nae above total amount i I agree to par above total amount <br /> Merchant: 1 according to card issuer araeam! 5 according to card [saver ao-aewnl <br /> ar <br /> Sale. 2 3 80. ltlecct. t areeaent cF credit vou• cher/ 4 (Merchant agreement tf credit vothrr) <br /> Total : 2 A-64„.„ O I% ' LLAL y 1r'// <br /> Settleaeot Successful x <br /> ®EN SPA:2113132 1 Merchant Copy <br /> Macchia& Cop. <br /> IIW& CM <br /> YWI <br /> J1 <br /> MC-411 <br /> C. <br /> '0 + <br /> a <br /> 02 <br />
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