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29379
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29379
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Last modified
4/1/2019 1:34:44 PM
Creation date
4/1/2019 1:34:44 PM
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PW_Operating
PW_Document_Type_ Operating
MTO
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v 63 al 7 19 t 2 13 or,,,,,,,,,Ta 7.cf <br /> N ✓ ala <br /> IW I. 10111 A:9. SIt iOU <br /> 114411. OR$7401 <br /> 15911 t82 5677 <br /> u;?Ye1Y 23'02:16 <br /> CI IV IF LOPOS <br /> VE <br /> KRIS CRT 1U(11 10M AVESIE <br /> 448 <br /> 'alt. OR <br /> 97401 Cllr 111 Wilt PDS <br /> WO <br /> (541)68216n 1W u AVE 10111 Si50 903 <br /> WO 11.Y,ER1 DR 97401 <br /> Ca A C,.t Sale fatal <br /> REPRINT s91, 3677 <br /> V5 1 115.00 115.00 0a1A ID: 1303 R PRINT <br /> Merchant ID: 1251 <br /> SIC 1 91.1.010 ad.W Ta. ID: (Si Bak ID: 1383 <br /> herclieSale Ictal. $ 155.W Ter. ID: ID:1 121251 <br /> Iota!: 1 155 00 Phone Order <br /> OttKilx OSQ414 Sale <br /> VISA Entry Method: Manual VOSCOOOOC18S92 <br /> Entry tithed; Chic <br /> Total: $ 115.00 <br /> el IV Of toa P05tl5 9D Total: $ 40.00 <br /> IRO II 10TH AVE SIE 901 63/29/19 <br /> 1116011.• 97901 10:39:44 <br /> 15911 682 5677 !no d; IOM ASR'. ; 55i1Z24 034949 12:31:16 <br /> ler. ID: WI ryro�P d: Online gatth4: I Inv a: [ {R Auaprafode: t6 <br /> uien,19 a 23:02:10 Ret; t ;Ref.11: II Axing: Online 63tcha: ! <br /> Rab areae Ref.11: ,,bltMMl ketr level Ref.A NI.WWI <br /> strew Fini <br /> I acres to we du..a 1041 swot I ma ate na. above total swami. <br /> Ba1.h Nes: WW11 according to card issuer aw'ae.enl +eor'd11q to<erd it cr, tt oour nl <br /> Host Na.,: NIIV Merchant .s-resent if credit vo.<her) <br /> Illervlanl eree.an! c1 < <br /> IHrahenl: 1 rWl! vouehw I <br /> Saler 2 1f‘i �f(��total • : 2 / "�""a--�-- --__.__1L--_-- X_Sreilk- .--.5 — <br /> Settleeent Successful 7N.1W0I f7 <br /> WIIA WE <br /> Itt,a,el 1ve. 5WlalaM <br /> : R ,tN1U111 <br /> 151: CND <br /> IVR. WtUy8WD <br /> Mn.lu„I Co.. <br /> ,l0e , .l, 4.,'i.i 1 M <br />
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