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• <br /> GIN UF twit.:i'w COY If tla{1E 4116 CtiY U tf9OE 1111 <br /> 3141 u 10111 ME Sit 4W IVO II 10111 MC SIE 400 W011 MTh AYE SIE 403 <br /> EUIIM. UR 97401 WWI. CR 97301 EIII(IC. OR 97401 <br /> 15411 682-5677 15411 C132 5677 I541)b02 5077 <br /> REPRINT REPRINT R PRINT <br /> Mt I3: 1323 1 <br /> Bad. IM: 1316 he.. IL: 1'303 <br /> Tem : I0: 1251 1.. ID. 001 1251 To <br /> J.aut 10; 1251 <br /> Tem ID: BBi Ln. ID: 001 To• IL: 001 <br /> Phone Order I Phone Order Phone Order <br /> mama= MMBXMMi7D1051 M1CMkMMXMMlCi1(9527 <br /> MFSIERm Entry Method: Menial U1SA Entry Method: banal VISA Entry Ilethod: boil <br /> Total: $ 55.00 Total: $ 65.00 Total: $ 15.00 <br /> 1S0449 14:57:39 00644/19 FDcr Code: <br /> 06'Bu19 13:31:30 <br /> Inv II: ;,,M., Far Code: 666166 Inv A: NM Far Code: i+B <br /> *rod: Online Becht 155001 PPS Aline Batchq: 155301 Fared: Online SAO 1555N1 <br /> CW2 Code: MF1CH M CW2 Code: MATCH M CM. Code: MAIM M <br /> Retrieval Ref.II: 7RIdaa6 Rob ieval Ref.R: 2111Wddl keine-rat Ret.II. 73if1WS <br /> 1 ante to our above total amount I ant to our above total amount I awn to PIT above total amount. <br /> Recadlns to card Scavre aarenent according to card issuer aMYemnt acceding to call Issuer arrneent <br /> Merchant arreement if credit voucher) (Ikrchant aweoment If credit voucher) <br /> Merchant p.eeamnl If credit vo.ther) <br /> • <br /> Gilt if DRAM MIS <br /> lou 11 10TH AVE SEE 4W <br /> ELIDE. UP. 97131 LMR'/RIttl IRf4ral.lull I IIR]CrY1E0 TM01:1101 <br /> 1591/ t02-S(.77 <br /> REPRINT <br /> Ban I0: ma <br /> Ilrrch t I0: 1251 • <br /> Tena 10: O01 <br /> Phone Order <br /> Unita it: <br /> VISA Entry Method: Manual <br /> Total: $ 105.00 <br /> CS'04/19 13:32:16 <br /> Inv u: t 186 ' Far Code: 621599 <br /> F crud: Online Batcha: 155801 <br /> CM Code: If41CH M <br /> Retrieval Ref.II: 7111tS I4 <br /> I agree to Pay above total amount <br /> according to card issuer agreement <br /> Merchant erenent if credit voucher) <br /> % t l hr m his ./40 <br /> Herand Cca•r <br /> rW 6W III nu <br />