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r <br /> 19 g o3/4, <br /> f/ % <br /> ! j / Cf!Y a EUff!f P09 <br /> CITY a Et14E!E FOS f c Liv a E!K£7E POS 1�B!�9F'/E1T elw <br /> 1828 ROOSEVELT BLVD 1829 ROOSEVELT BLVD Edit". OR. 97992-9159 h/ <br /> EtEI(. d1. 97W-4159 WE!E. at. 94312-4159 541.602-7812 <br /> 541-612-"112 541.682-4812 REPRINT <br /> REPRINT REPRINT <br /> Phone Order Phone Order <br /> Phone Order <br /> aoxatooc3232 >a1 4017 lm000moani863 <br /> VISA Entry Method: Manual VISA Entry Iethcd: Maaul MEMO Entry hrthod: Mama) <br /> Total: $ 60.00 Total: $ 100.00 Total: $ 100.00 <br /> 1829/18 14:34:02 1029/18 14:33:11 182S'18 14:32:32 <br /> Ire H: ,";is,:. Agar Code: 61E43 Ire x: 060086 Apar Code: (693A d <br /> Inv I: <br /> 'Onlia <br /> i PPor Code: 869952 <br /> Aacnid: Online Aamvd: Online : O <br /> AVS Code: AVS Code: 645 iAVS ode: M611�M <br /> DE Code: tWOi M CUECode: M TDI M <br /> I MK to Paw above total wont <br /> 1 cordf tg towAl total lent I WK to is total era.,mount according to card Issuer antra `. <br /> according to card tour ata'aeaant according to card issuer agreement (Merchant asreeotnt if credit voucher) ,' a y <br /> (Marchant aareertnt if credit voucher) 'Merchant adreeaent if credit voucher) n� c� <br /> C '> �11 i 06 <br /> KC(I NLA 106`1 x -- La- 15 x--- <br /> Merdant Cvor, <br /> Merchant Cony Merchant Corr <br /> OWE YOU! <br /> T)A< YOU! TWO YOU! <br /> CITY a EUGENE POS ,, <br /> CITY a EUGENE 1821 ROOSEVELT BLVD <br /> 1CITY Of 8201. OR. 9190BKS lw 1826 ROOSEVELT <br /> CR. 97902-4159 EUaTY OR. 974 82-4159 <br /> 5- CR. .4112 <br /> EIGEIE 691-682-4812 <br /> �-�2 4159 541.682.4812 REPRINT <br /> REPRINT REPRINT <br /> Phone Order Phone Order <br /> Phone Order E1 �8T <br /> VIS Lrx1546 P STER uoo 8401 Entry Method: Mane! <br /> IVES OICPRD Entry Method: Masual MASSURD <br /> VISA Entry Method: Manias 100.00 Total: $ 100.00 <br /> Total: $ 60.00 Total: $ 0.,x:0 <br /> 18'24.8 14:330:58 102948 <br /> 07 <br /> Ix q: s :4:43143 Inv 4: ""Y'sf rat Code: 36 Inv II: :c's,:U1 Pym'Cede: 716 ' <br /> Ir A; sOnli Online <br /> Azar Code: 843143 rowed: Online PPS: Online <br /> AVS Co: Online AVS Code: AUS Coda: <br /> A45 Code: <br /> UV Code: CCM M CV'U2 Code: MINN M CO2 Code: MATCH M <br /> I agree to oar above total aawnt <br /> I awn to Cay above total amount Iartsaccording to card issuer agraeaent <br /> I came to oac aaove total awarent according to cad iaaver apeeaant Merchant aaoacard if credit voucher/ <br /> (Ma•cheat aarteaent if credit , htr/ (Merchant aereaaent if credit wvcherl <br /> Mrctant CORY <br /> Merchant Long' MAW. .a1! <br /> NW YOU, <br /> TRW YOU. <br />