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( 1 ( I Sr 1. <br /> a 3 a i s- <br /> LILY Or EUGENE P05 <br /> 1929 ROOSEVELT BLVD <br /> MGM. OR. 97982.9159 <br /> 541-682-4812 CITY Of EUGENE POS <br /> 8&29,1d I620 -r BLVD 9f EVEEIE POS <br /> 22:32.02 ktGEIE. OR. 97482-4159 <br /> 1829 03SEVELT BLVD <br /> 641.682-9912 ELUTE. OR. 97902-9169 <br /> i01plS EPORi RE' 'IN 691-682-081 <br /> 2 <br /> [lawn <br /> Card Cnt Sale Prone Total Phone Order <br /> vI f 215.90 0.ee 215.00 ,-„ Phone Order <br /> It 1 5 98.08 0.93 76. 1nOWpI%llxlf%x)}I+1 )O onoo00 S24 <br /> total: 4 290.00 <br /> MASiERCAftO Entry Method. Manuel VISA Entry Ikthod: Manuel <br /> Sale Taal` I 290.00 Amount:$ 75.00 <br /> Tax: $ 0.00 Total: $ 215.00 <br /> Total: $ 75.00 ; 69+29+18 15:21:39 <br /> Inv t +'s's:st+ Aoa Code. 119212 <br /> CIIY of EtxENE yes 1(�/19+18s ,, ssi tax Code�:llti919 A:and; Online <br /> 1820 ROOSEVRT BLVD I ����l PIS R!-: <br /> EtIGEN55916B2-988x12¢•9169 19991V: Online CW2 Co :deMNiCH M <br /> W/29,19 n:SZ:ls f NS Code /,(t� <br /> —,__MI LYYL�`�'11.� MD M ` I .free to oar above total soon! <br /> I' I accordinga to card issuer vaaenl <br /> (Marchant aareeaent if credit voucher-) <br /> Batch Man 591 I agree to oar above total mooed <br /> Nowt Na..: flown <br /> recording to card law a9rtaaenl /t /� � /I <br /> Merchant:: 1 (Merchant sereeaen! if credit voucher) V /1-// I <br /> aSaal...��2 f 2YU.00 A_1YTP�To41.'m72 (,ligit2- / 3 <br /> Merchant Corr�____� <br /> Sawn(Su:cessful mow raw <br /> 6001(582063J9132 Merchant Cove <br /> 'DM Ypll <br /> bib 215.00 + <br /> 001 <br /> 215°"0 <br /> C <br /> 75.70 + <br /> tAc5t <br /> 001 <br /> 0• * <br /> 215.00 + <br /> 75%. • <br /> 29:1.00 * , <br />