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peea- <br /> c17Y Of EUGENE PIIS CITY a Mit PUS <br /> CI If Cu atilt WS 1W II LOTH ME SIE 080 lue u 10111 ME SIE We <br /> 103 u IUTN Ash SIE 4W EUfIE. OR 97401 WOE. DR 97901 <br /> EUGENE. OR 37401 159tH E02.5577 15911 682-5677 <br /> (5411 IPC 567T <br /> Sauk ID: 1383 Bak IL: 1303 <br /> RE�,. - Merchant ID' 1251 Meralmi.t ID: 1251 <br /> Tern ID: 001 Ten ID: 001 <br /> Batik ID: 1s8i Phone Order Phone Order <br /> Ikrch..t ID: 1251 <br /> Tera ID: 001 <br /> Phone Order , t000000002558 <br /> VISA Entry Method: Many y,IX10 %CNICo(9948 Entry Method: Manual <br /> VISA <br /> fOCCOCCOO12 Entry Method: Manual Total: $ 37.4'. Total: $ 37.45 <br /> : Total: $ 37.45 9249v19 69:24:5 024419 89:31:59 <br /> joys; s:tct, for Code: to Im 1: if 14'0 Aar Code: 918263 <br /> 32.29419 99:43:41 Azrvd: Online Batc61: c d: Online 9atchA: 85ia01 <br /> Inv d: TI: Alar Code: EB�a5124 CW2 Code: If PROCESSED P CVV2 Code: NOT PROFESSED P <br /> AnontdC142 Code: <br /> pryy�[D Wttp; W1a11 Retrieval Ref a: 461e0B03 Retrieval Ref hi: 70180001 <br /> 0142 Code: NOT PROCESSED P I agree to oar above total axon <br /> Retrceval Md.': 081taktb according to card Ione agreement I crda to to card above total noun! <br /> (Merchant agreement if credit voucher) according c re Issuercredit ivouche <br /> 6,,,A,k_,QA_ <br /> / nt areern! If wurher) <br /> I arae to Par above total sountIarcrdire !o card ower areemen!fllrchal ag'rement of credit vgmher/ ELLI, <br /> P7601 <br /> XHercl.:ut ronv Merchant Corr <br /> ♦• Me..ly„ a _. <br /> a <br /> t11v u EUEat fq5 <br /> WS u Mom AVE srt Ofla <br /> Cl Iv IF E (IE POS EIICOE. OR 97481 <br /> 100 N 10TH AVE SIE 900 1 15911 882.567.1 <br /> 1W CINY181H EUGENEUt 51EPofW <br /> EtUtE. OR 97901 EI EHE. OR 97081 <br /> 1 (501)d1Q 56.7 M Bak ID: 1383 <br /> 1541) 6825677 MerchantID: 1251 <br /> Bad' ID: 1383 Ten IDD:: Bol • <br /> Bnk IU: 13tl3 Merchant ID: 1251 <br /> Merchant ID: 1251 ler. ID: ROI Phone Order <br /> Tee, ID: eel Phone Order <br /> Phone Order VIM <br /> 1:04)=19138Entry Method: Manual ' <br /> D00000C0000(21&3 VISA Entry Method: Manual Total: $ 37.45 <br /> MURIA <br /> Entry M' Meal I Total: $ 37.45 <br /> Total: $ 37.45 19 89:21:99 <br /> I <br /> 01/2819 x:33:14 m is „tit A>or Code: 818233 <br /> 82.120,19 99:42:18 Im 1: ,t;tu Icr Co*: 61;ix <br /> Aoaed: Online BatrhO: 851 1 <br /> Inv g: s :e kr Code: 813161 Arse: Online Batch4: 051:. RCVV2eCode eval �ND1 F 00106001P <br /> rand; Online BatchVV: 851881 CV1/2 Code: NOT PRESSED P <br /> Retrieval Rei.e. 86108002 <br /> Code: MT PROCESSED P I erre to ray above total meront I <br /> Retrieval Ref.': 8BIB000g ercrding to card ifacre aranent <br /> 1 agree to Par above total aa <br /> wnt iMrrA°nt agreement ifcredit kn.) <br /> 1 cordr to oac above total <br /> according to card Hewer areement y J( ��A <br /> ___12.J <br /> I arae t to card ve tot saint Mere agreement if credit voucher) —.-_1Ba'r/^//Jr S.Ne <br /> the-chant agenent of credithr) <br /> 1 r L. -- <br /> ��' Mercheht Cool <br /> MH(hmd CPPr <br /> Menhant Coma <br /> ROWED rRAKAcf lot <br /> EIuawrtu ImmaracTIU( • - <br /> EBCRYRIfD TRANSACTION - _ <br />