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.!P <br /> (Alf to MUNE .OS CII) (a Vali PUS <br /> 1W R 101"AVE SIE VW 1W 11 10TH AVE SIE 404 <br /> tow/. UR 97401 BIDE. CR 97901 <br /> 1511)682 5677 15411 6025677 <br /> Cpos <br /> REPRINT REPRINT Y0r tE740€ <br /> 0'4 <br /> LOB R 101.AVEAV40.1 <br /> E115411• 8R 97401 <br /> Balk ID: use Bad ID: 1383 15911 6825677 <br /> Merchant ID: 1251 Merchant ID: 1251 <br /> In ID: 871 7n ID: at REPRINT <br /> Phone Order Phone Order Barg 10: 1 B7 <br /> Merchant <br /> 11100: 1251 <br /> VISA Entry Method: Maul M(SiERCAlaO 1 Entry Method: Mayoral Phone Order <br /> Total: $ 60.00 Total: $ 60.00 X1l,1�e6S6 <br /> VISA Entry Method: Manual <br /> 1182/18 89:18:37 ' 1142/18 89:19:24 90.00 <br /> Inv t stu Paan Code: 6483% Inv H: at:s Par Ca: 819931 Total: $ <br /> Avcrvd: Online Mehl: 3'..u. Aoond: Online Batch: l-.:t <br /> CW2 Code: MATCH M I CW2 Code: M M 1142'18 89:16:39 <br /> Retr twat Ref.ii: 761ataBi3 Retrieval Ref.li• .M011304 Ianv�,�t� BBfhli81 'yam: X111[2811 <br /> I agree to Pat the total soon <br /> ' I agree to oat above total count Vd: Online Batch: 386881 <br /> according to card iswee avreeaent according to card issuer areeaent CW2 Code: Ia1CM M a <br /> cHer han: ev'eeeent if credit voucher) Mer haat agreement tf credit voucher) Re trtwal Ref 11; 701W601 h <br /> //` 06. A <br /> y I c.Er to ray abov total avwnt I <br /> V / IIIKJ according to card tower areeaent <br /> IHerctant areeeant f ceedlt gtcfarl <br /> i - n.a�t C-on ..r.,1��,1 ia•+ ,_� ii k� <br /> • <br /> Mee thant Cony <br /> ENCRTPIttl IRAN:4211W tt.kW.ltli IRN6AI:!ILFl <br /> t1EH)"ILD I RN1SACI IW <br />