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31355
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31355
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Last modified
6/13/2019 10:27:45 AM
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6/13/2019 10:27:44 AM
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‘ . rl • IS <br /> _ <br /> nay :.1 •.L•iAl <br /> to 01>t9 <br /> :442,e <br /> Ions EfPORI <br /> VNgV <br /> i.e., Cat sale Total <br /> VS 2 77.45 11.45 <br /> ':ale total: $ 77.45 <br /> Total: 4 TIC <br /> 1 <br /> CI,3 II COD( 1145 CII':rt 'A Sh05 <br /> 100 1I 10111 AVE 515 4tlj ;it.,R 10'ill'AVE SIE 41U <br /> L1541), OR 97401 l(541) 2k 97401 <br /> 15411 607$577 (541) 182-5677 <br /> REPRIN REPRINT <br /> Circ u IWk It N5 <br /> DA II 10111 AVE SIT 4W ban111. 1583 lark 10: 1'+,&3 <br /> Ilka(. OA 97401 . <br /> t .chant ID: 1251 14rtlwwt ID: 1251 <br /> 1541) 582X77 .• f0: 001 <br /> Tara ID: 001 <br /> 1.,. 10: ul y/ yVyyPphyone Order mama Order <br /> C ,) IWDI <br /> REPIRI VISA Entry Meir: Manuel VISA Entry Metod: Manual <br /> Batd.lei..: I5 l Total: $ 40.0© Total: $ 37.45 <br /> IteThant: 1 \ <br /> Sole, 2 $ /i i <br /> 'AC647/199 Code: 86,17/1911:�:(, <br /> t�7�19 4p <br /> Total : 2 t7.4:, 1 ISI d: ;:;;,/ kOf IriCC: 8220 Inv b: t; sl kw Code: 814865 1 <br /> SetHeent 5wq (ul kind: Online ?atch4: 15£ 81 Aoarvd: Online Batchu: 1581 <br /> CVV22 Code: 41101 M C402 Code: WI PROCESSED P • <br /> Retrieval Ret.A: 40100012 Ikl:i.vnl Rel li; 001U1AQ1 <br /> 1 gree to Pay tut total *wain! I awe, to ma, <br /> according to cad issuer awve.ent .laic total ramount <br /> resen <br /> IRerchaat ares.rnt if credit vxher! .rcwdtn. to cad issuer arvoaene <br /> 1 Rerchaat armed i(�credvomiter/tf vomiter/ <br /> X (/`r Vt Ow. .. <br /> Re,tIa,,t Cwy <br /> Merchant Cour <br /> •� <br /> • 4:.10 + . <br /> 001 • <br /> " ERERYRr/n 110015A1r1u <br /> p * FIA:R IILU 1105454:12a1 <br /> L�Ly�S ' <br /> 37•45 + <br /> 001 <br /> 7• <br /> 0•- * <br /> 4:.J3 + <br /> 37.35 4- <br /> 302 <br /> ?7.45 `� <br />
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