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J31 ( 1 _ 6tk0 <br /> I Ill IS Milt E.% - <br /> KM II MID Mt Sit 4w '- <br /> tMilt. I* 9:41.1 <br /> 15411 bN!567f <br /> i.o-sVl9 :3:W:t2 i Ill la tttrNE Ms <br /> DA)II 111111 AVE Sit 4w tile Of tA% $ <br /> WiALS f�PORi curl(. a 9(401 <br /> 1541) 4112-56T? We R leltl me SIE1 400 <br /> OR 97401 <br /> 15411 ISS1 SBR <br /> IP) <br /> Ned e Sale,li lata, REPRINT REPRINT <br /> li15.00 Bar ,e: 1383 Oar Ie: 13383 <br /> as 1 7(5.00 14rvha: ID: 1e51 <br /> t 'tw.w 2w.w .t Tett I0: BBt chant Dei tea <br /> S,le heal: .08 Phone Order Phone Order <br /> loll: $ 306 . <br /> P0:004 A1246 )01)000(X1525 <br /> ' MNSIERCAt Entry Method: Manual VISA Entry Method: Manual <br /> Total: $ 200.00 Total: $ 105.00 <br /> I:IIV 0 !hitt 4 I BS/3Y19 18:21:51 <br /> 166 U IOU(AN. SIE14w :x/19 13:46:30 <br /> emote. Ire 17401 Inv I: Is:;s1 A�Ik Code: 65SI2. <br /> 11411 urn SW f i Inv p: Poor Cede: 511361 <br /> Aovrvd: Online Matti*. 151(131 ppa ocl; Online Baic}A: 151081 <br /> ,< . UI: w1 CW2 Code: MMICH M 0 p CaMA <br /> O <br /> L3:l$:1' R<lr i<val Ref.a: 4Ulwltll CVV2 Cade' MATCH M <br /> $64,41 ({tt7�I C�11((y�,���Q Retrieval Ref JI: wlOabdY. <br /> SEI ILESI """"I I awn to a,< *Wet total rant I awn to.,r above total mount <br /> accardiM to Card levier awement <br /> Baer Me IbIw1 (Merchant aw.e..nt if credit voucher) cordlrN to cad inner avreeuent <br /> Host tine: INN Merchant awee.ent if credit voucher/ <br /> It:ralunl: I 8 Atth <br /> Total <br /> l 1• { 305.03 1 <br /> Settleeent Successful M<r lural COPY <br /> Mn cant co.,. <br /> Defht7[U IRMAI131 • LtdR ICL) IltNfiflCl l(N <br /> ` ` sw <br /> :01 <br /> 2"3.:0 + <br /> 55 <br /> 2 ' "7 * <br /> D. * <br /> 202 • I �1 <br />