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el. / 11 1 ` a 2 � a� 1 <br /> city u ata PSS <br /> 106 R 10111 AVE SIE 900 <br /> MEW. OR 97901 <br /> 1541) 602.5577 <br /> ✓dQiQ9 <br /> (Ail w .. C+ <br /> ist <br /> i, ,y WORT 2,:02:08 109 R 10111 AVE 51E em <br /> •t,t �1 rora9r <br /> EDW.662-5677�1 <br /> YHfV REPRINT <br /> Cord Cnt Sd. Baik <br /> , -- Total I1e.c ID: 1303 <br /> •f'P {' • ...'..-'200 CO ' 1i. ID: <br /> f0: 1251 <br /> J 3 :u a r re„ In: eel <br /> 5,e1. Total: 7 280.E <br /> I <br /> 'oral: f 20 Phone Order <br /> )11000=7193 t <br /> VIS+ Entry Method: Ilarual 1 <br /> Total: $ 200.00 t <br /> cm' <br /> 11 1010 AVE SIEE900 82 '.9 �[ <br /> ELUE1E. OR 97901 02AL19 12:45:18 <br /> 15911 IAQ 5677 Inv is I,S:;l Ur Cc& 015056 <br /> I..• II. umNu M; Online BatcU: 012091 <br /> c+7/11,19 01V2 Lode: MIDI M <br /> 13.U2.1: Retrnval Beta. 40Lo0J1/1 <br /> rrLf 1 REPCRT <br /> 0atch Nos: 91W1 I ewer to Pa, .R:o.v total acw.ul <br /> Mco dtna to crd Issuer awenent <br /> lintNamiat Merhent: VWIV Merchant .vee.ent if credit ...toucher/ <br /> Solos I i.' <br /> Total f � / I 1 c2_ " �ir e <br /> f .ee <br /> • <br /> 1641...8 Copy <br /> 'UN <br />