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g / 11 ( 19 91se91 <br /> Cllr IR t14714 WS <br /> 104 II 10TH AVE 511 4W <br /> tILEK. Alt 97401 <br /> 155411 682.5677 <br /> W11.14 :fIrGW <br /> INS REPORi <br /> VNTV <br /> Cad Cnt Sal. Total <br /> VS I 37.45 37 45 <br /> nl. t 5W.W 51.16.01 <br /> Sale Mal. f 557.45 <br /> Told: f 537.45 <br /> ttli U 1411t i4.4 <br /> lla 11 101l1 dvt :9t 4W <br /> Tint*. (k 3;401 <br /> 15111 to/ <br /> R PRINT <br /> 1.114 6 (WERE PASS 6x54 10. I Ru <br /> 1‘41 u 10111 AVE Sit 4W 5 It. l.a.d 10 I I <br /> EULLK. OR 47401 r 1... IU: WI <br /> 15411182-5677 <br /> Phone Order <br /> le. IV WI /yyyyyyyyyypt�[ <br /> UVi11'19 1>:VP'1J b.L":MX1O(1291B <br /> EMBOLI Mil VISA Entry Ikthod; ilarEul <br /> wet.154.•: lois,' Total: $ 37.45 <br /> lbal Ilam: 1VIM <br /> Sale. a b:7 4S 04'11:19 15:01:0? <br /> Total 2 4 i 537.45 Inv Y: WW2 Accr Cade: 08141? <br /> Settlement Staesful : Online Ditch,: 101‘01 <br /> C'!V2 Code: ICI PROCESSED P <br /> Ref a iulaW01 <br /> 1 r et to Yav drove total mount <br /> t ordyy�r{f to cad i•wer vr.vo M <br /> Illertlsit r,a nt If cred&t curler/ <br /> '9 5'0•33 + <br /> �0 5 •_.0 * <br /> a1� ° <br /> a <br /> 4) 3745 + <br /> 001 <br /> 37• * <br /> 5':;•:30 + <br /> 37• <br /> 002 -~\ <br /> 537.45 <br />