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1 ?I 2---0 I 1 sc ..4 ,2_&_7±-1 <br /> _________---, <br /> CIfv I EUGENE MIS <br /> 1W Ii IUTN AVE SIE VW <br /> ((WE. IR 97401 • <br /> 15411 6815677 <br /> 124040 23:02:89 <br /> Toro ID' WI <br /> Mn.lw,t ID: OW02842125/ <br /> Bari ID: 1W3 <br /> acral MIRY(URI <br /> CIIV tIFMatMatT 4W <br /> Solos 1 $ tl0.00 LW u l0lNlll AVt SIE O <br /> Refunds : 0 1 0.00 C(541E• W 97.401jr, 1 <br /> Tots' I f 88.W /5V11 602-5677 /T C O <br /> REPRINT / `^`7.Y 1, /y1 <br /> Wit ID; 1itty7efri v t� ... <br /> ;h D: 10: 1253 �j\�� Ll 1' <br /> \ <br /> CITY a t8tAE INS <br /> 1WEtitiAlW <br /> wi682-5677 YIA Pessho7ne Order <br /> VISA Entre Method: pptlnu31 Z ( <br /> tAkcil <br /> ��yft <br /> 1220,10 23:0t:LU <br /> TOTS CDCRT Total: $ 80.00 <br /> I1Y 12/2418 12:19:46 <br /> La d cd s.I. Mal Im I: MOH kW Cock: 0108 <br /> VS 1 W.W 60.00 korvd: Online 9atchu: 3S4U31 <br /> 5.1. T.La1: , au.W CtV2 Code: IMTCI a <br /> Total: S W BO Nob anal Bee H. WIIaANL <br /> I ante to oso .Wn total *writ <br /> accerduw to card Issuer awreeaent <br /> yy (Merchant intent if credit voucher/ <br /> tU <br /> CITY If ilil MDS A ........___. <br /> 100 0 101M AVE SIT 4W <br /> EIXEIE. U(97401 <br /> 15411 632 56.'7 <br /> Mei haul Coo), <br /> fern ID: WI <br /> 1:2W10 da.W.16 <br /> CM FEET LAE Inv IIV IWilA:11181 <br /> Balch M..: i54W1 <br /> host H..e: VIM <br /> Merchant: 1 <br /> Sales : 1 S W.SW <br /> • <br /> Total : I S /10 <br /> Settlesent Sulxeseful <br /> " <br /> ,1 d .. <br />