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G <br /> t21rs1U ,Ce15 <br /> 1820 ROOSEVELT BLVD <br /> OOWEME. OR. 97912-0159 <br /> 591-072-9812 <br /> REPRINT <br /> Phone Order <br /> 7ommammo528 <br /> NASIERCO Entry IIethod: bra: <br /> Amount:$ 115.00 <br /> Tax: $ 0.00 <br /> Total: $ 115.00 <br /> 1G'18/18 15:44:43 <br /> • <br /> Inv I: t;;.;tet kyr Code: 13359% <br /> APRA: Online <br /> AVS Code: <br /> CY12 Code: ICH <br /> I acre* to may above total *mount <br /> acccrdln9 to card Issuer ar.,.ent <br /> (Merchant armament if v.dtt vouchheer))) <br /> X <br /> rat-chant cooly <br /> nwx ver <br />