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26255
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26255
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Last modified
11/30/2018 3:25:49 PM
Creation date
11/30/2018 3:25:48 PM
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PW_Operating
PW_Document_Type_ Operating
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� I1 � ..4,:t a6a5� c <br /> It <br /> ( a <br /> CITY OF FUGUE ROS ' <br /> l08tlOjC[IIEN AVE <br /> TRR 97401 <br /> (591) 682.5677 <br /> 23:02( <br /> 11/2748 CITY Of EDGCITY Of E117EtE RDS <br /> W. 0;1820921251 ITOB N 191H AVE STE 900 <br /> Merchant ID: 108 N IBM AVE E STE R05 908 . OR 97401 <br /> Bank f0: 1383 ETAtt. OR 97401 (591) 682'9777 <br /> (5911 682-5677 <br /> • <br /> IANMRVCR! <br /> $ Me.� <br /> Refer : 2 4 REPRINT REPRINT <br /> Refunds : 2 $ '� - bah ID: 1383 Bare (0: 1383 <br /> Total Merchant 10: 1251 Merchant ID: 1251 <br /> Terse I0: 081 Terve ID: 001 <br /> Phone Order Phone Order <br /> 310000300a6733 l00100300{2566 <br /> 100{2`'66 Entry let}od: Manual VISA Entry Method: Rani VISA <br /> PCS <br /> 06 41Y18TH '71 Total: 0 Total: 100.00 <br /> EWFtE• OI197901 $ 1V0.00 <br /> (5911 6824677 <br /> 23:82: 11/tb18 18:12:21 11R1Q6 10:11:23 <br /> 11 7,18 <br /> Poor Code: 1.31: Inv q: : s;s1 <br /> For Code: 033$5E <br /> TOtRLSREPCRi InvN: s;rr <br /> fiaxYd: Online Batch1: 331861 *rid: Colin' Bacchh: 331sa <br /> VIIN C1102 Code: ICH fl CV02 Cade: MICH fl <br /> Card Cat Sala <br /> total <br /> • •.-. Retrieval Rei.It 'muse' Retrieval Ref.a: 80180781 <br /> _-.--.-- -- <br /> 200.00 <br /> VS 2 soma I aurae to vier above total amount l an. to ear above total amount <br /> 6 200.00 (Merchant a ng to cerd ireement if credssuer itvoethenl Ineenent ertianta ro card jareement if voucher( <br /> agrenent <br /> Sale Total: $ 200.00 <br /> Total: <br /> XC6- IS D ? YC 2-1 <br /> Mer.ha,t Lar Ma(Kent Cue" <br /> CITY Of£IWE PoS <br /> 1110 N 10TH AVE 52 01*a <br /> cwUL• <br /> 15411 682-5677 <br /> Tera ID: 991 t11CNYI'IED IRAH5Al I ICN !AMP MD IRi/GalION <br /> 23:82:18 <br /> 11.'27/18 <br /> SEIIIDEHT 'yr! <br /> Batch HV: 331001 <br /> Host Haw WY <br /> MP-chant: 1 <br /> S 10I-'W <br /> Sales 2 a f 2oo.01 <br /> Total 2 <br /> Settletet Sacessful <br />
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