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31038
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31038
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Last modified
6/5/2019 1:38:28 PM
Creation date
6/5/2019 1:38:27 PM
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PW_Operating
PW_Document_Type_ Operating
MTO
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• <br /> • () <br /> i <br /> lift <br /> Il��!PD5 cIiv of Lull! gra • <br /> EI IV 01 tS PUS Iib N IUdI AYt SII Sul IUD N 7Ni11 AVE 51l 91A1 <br /> Luo u 191x AVEnvE SIE IOU Ndl! 0R 37401 Iltti!. OR 57407 <br /> LULLS. DR 37481 15411 64 56:i (5711 682 5577 <br /> 45911 6IR•5677 <br /> REPRINT RE'•INT REPR NT <br /> BM* <br /> lb: Ude 33 Dank ID: 1*3 Bab ID: Ial <br /> Bade Int ID: 1251 Mn orad ID: 1251 116,-,1.8,e ID: 1251 <br /> Tree ID: 001 I«a ID: B01 I Tera ID: OH <br /> Phone Order Phone Order Sale <br /> 3 i (A/115524 RO>G.Ck3IlOCCt1553 101 1COJC 7744 <br /> VISA Entry Method: itarual VISA Ent»'Ile ed. Irma) V1S4 Eater : Chia <br /> { Total: $ 90.00 Total: $ V 15.00 Total: $ 105.00 <br /> 06433/ 14:35:37 0“3/19 18:21:21 0643/19 18:42:18 <br /> Inv II: MS Aver Code: 82%26 Inv 4: O8{(4'. Alvr Co.k: Re Inv is kW Agar Cada: 883252 <br /> Anand: Online Batch9: 154881 Avard: rt:i; Batcha. 154d01 A vd: Online Bald* 15481 <br /> CVV2 Code: M4ICH M CVV2 Code: 11411 M Retrieval Ref.41• *ltawL <br /> Pete-level Ref AD WIt6U112 w t,revel Rvi.S :uwMll <br /> I arrce to we.bore total await <br /> I • <br /> agree to oar above total stint o crd issuer recreent <br /> t .r.. t.•.. .d:vve total a.a i.t tyerckent a twrra.tnt if credit voucher) <br /> t <br /> according to card issuer asrereent according ao wird :fere iter.'. . <br /> (Merchant agreement if credit voucher) Merchant 'rewire( :f credit wvrs•) <br /> • <br /> vita tet.it/ <br /> 1 <br /> J VII?(if twit! re. IUD U W01... <br /> LtLENf. OR 079U1 <br /> IW N IUD'Alt:SIE 91.• 4541) 652x56'7 5118 k tRUI_ 5 4 4 <br /> PALL. (Nt 17401 lU0 N 10111 AVL SII 914 <br /> 15911 681 56:7 1541E 632$5901 <br /> REPRINT <br /> • PRIN air m: 1163k Via`. <br /> • Merciret ID: 1251 <br /> M...it ID: L303 ter. ID: eeJ beik ID. 1037 <br /> It..lanl ID: 1251 <br /> ler• ID: t161 <br /> Min ID: 1;451• Phone Order re.. ID vol <br /> Phone Order XORO'O'NOS 113 Phone Order J <br /> 1'1Ct1<,AX?.Fa':vr VIS4 Entry od: Manual AIx,COOT.ii'Cil <br /> VISA Entry Method: MaNual : Total: $ �//40.00 Entry Method: Arial <br /> Total: $ 100.00 Total: $ 90.00 <br /> %793'19 14:21:41 <br /> %(63(19 18:11:13 Inv ii: WA kw Code: 863134 %40319 14:34:52 <br /> Inv II: 888682 for Code: NE64O Amid: Online Batchll: Bei I. luN I: ;s, :7 Awe Code: 814824 <br /> A' : Online 8atchu: 154811 C1102 Code: MIDI M I Ancrod: Onlire <br /> C4V[Cade: NO(1 Retrieval k.f.a: DULWRJ I': CVV2 r- e !MIry1 BatJri: 1548B1 <br /> Retrieval Reis. 2ULUd0(2 I kctr t1M7V' et... M <br /> I awe, to oer above total a.unl RetrievalRefit.J: '2blWatlb <br /> I ewer to vac above total amount according to crd issuer areernt <br /> according to card isc r arra:int Merchant awetaent if credit watcher) I agree to oar above total e....,.,, <br /> (Merchant ereeaent if credit voucher/ according to card soweray.. ....0.....0.. <br /> nn 44 <br /> 1Merdraif credit <br /> t aweeaent credit •.re, • <br /> ti p in r r... 2, <br /> _ <br /> , rani . rg <br /> Me.'Lent fogy <br /> i • <br /> Do tl,.d Icor <br /> erI LIcRwlu1, I1tNq*(IIIM <br /> l7ervllD IfbYISr1C1117N t a.xivito ireiSa 11x1 <br />
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