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CITY Of DAM POS CIIY OF f <br /> 1%u 101H AVE SIE 4011 u�E(OS <br /> EU[EIE. OR 97401 1%u tOnl avE Si( em CIIY IF WOE PDS <br /> (5931 652•5677 01541! M 97401 I 100 0 10711 AVE SI! V% <br /> 15911 t:::U 7 ElK(tE. OA 97981 <br /> 15912 682-5647 <br /> REPRINT • • <br /> Bark D: 1383 Bank ID: 1383 REPRINT <br /> i.BIScMerchant ID: 1251 Merchant ID: 1251 <br /> ter• ID: 001 Tara f0: WI Bet ID: 1383 <br /> Mer <br /> ID: 1251 <br /> r. • ID: D <br /> Phone Order Phone Order Phone Order <br /> 1C11001o01251 <br /> XYJD:CCOCODX7445 <br /> VISA Entry Method: Maoal VISA Entry Method: 'taut <br /> IVISTEKA Entry ' Ihnla! <br /> Total: $ 40.00 Total: $ <br /> 79.01 Total: $ 40.00 <br /> 0320719 10:34:01 03/0749 89:14:33 <br /> Inv 1; ,Ill, 'car Code: 013925 Ire 1: �;:;: 'oar Cie: s�;. lnv t49 : 066:52 <br /> 'a nttd; Online Bata: 066001 Pang: Online litchi: :,:! In 1' `"°"e Ryer Code: 0663x <br /> CVV2 Code: MIDI h CVV2 Code: MOM ry sd-:JOnlR0ie,1f yy Batch(; %5 1 <br /> Retrieval Ref.a: 1Uitsiuui Retrieval lief.II: ubluu001 R.i. Cade: ,f.0 11 <br /> Retrte..al RSA' 111ltalW2 <br /> 1 arm to oar above total mount I arm to oar above total amount <br /> .e. above tvtal mount <br /> accrdinr to card near erreernt accrdln9 to card Mauer cerement Iance Iv v <br /> (Merchant n ee•ent if credit voucher) Otemeant erenent if credit voucher/ accrdt n.to card ismer avrreent <br /> (Merchant areeatnt if credit voucher) <br /> g AS I, Z 5.4.111 ;SIE. !,•LRcds go aa, I- <br /> Ie.chant Com <br /> )IM1":Mbyte 'an <br /> t1LLRYPIEU waive.'Jai 003rIVIEU I120.130CIION <br /> tM.RYP11U IRON&I nal <br />