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I9 I / 19 * 9 7S <br /> C11Y a EUfiNL POS <br /> IW M 1010 AVE SIE 400 <br /> II16ia. 0f1 97401 <br /> 15411 682 561? CIIV LI Mata POS <br /> CIIV W IWO! WS 1W M 1070 AVE SIE 41al <br /> 2S:172:81 1W II 1001 AVE SIE 400 Mitt. 011 97401 <br /> 0L-21.19 EOGOE. OR 97401 (541) 682 5617 <br /> 10119 Wt411 15411 6825677 <br /> I IIID�A3(117 I R •'INT REPRINT <br /> WN bank IU: 1383 <br /> Ca Ga Sal. Total Bank ID: ID:3 Itrrchant ID: 1251 <br /> Rardent ID: 1251 Gra ID: DIM <br /> 110.00 110.00 Ina ID: 001 <br /> Y5 2 Sale <br /> Sal. lotal: f 11(3.09 Sale <br /> Total: 1 110.00MOM ,;; A4Y.�, x,V6,�t„fYDCb <br /> 7 <br /> VISA Entry method: Markel 1SA Entry hthod: Koval <br /> Total: $ 10.00 Total: $ 100.00 <br /> cm l4 tWitE PUS {12/21119 13:42:52 EQ/21/19 kms- 13:333:3 <br /> 10011 10111 Mt SIE 400 r 'IOWA{ii,A IWI Code: 071270 <br /> t(5 • as 9677 IN 1: ,f,{,7 %cr Code: 0191}3 <br /> (5411 as-s677 <br /> Online p� by OC 2981 P�orvd: Online Batchw: :. ;, <br /> er : Wl Nat,i.salf. Batch'''. 052881 ftetr..ral Ref.R. Wltlukll <br /> Wb uvral Ref.11: iU3fA7701 <br /> C)1 , ID <br /> T 21x[.14 Ior Wen to oar above total mount <br /> RCf1�ll 1 agree to oar bototal aaounl according to card issuer segment <br /> acccrdl,ro to card issuer agreearnt (Merchant agreea.nt if credit voucher) <br /> Batch Mr= 521.411 yrf—t\X' 'I ) 1 (Cr <br /> f r 0 <br /> Host Na..: Mlle \tel <br /> N..,hont: 1 <br /> salt, 2 4 11U.W <br /> Total 2 4 110.00 Mo chant COPY <br /> IMI chant Gas <br /> Settlement Successful <br /> EIUIYPIED IRAWACILON <br /> ENCRYPTED IkWiRl I11N <br />