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Q5 e2 <br /> • <br /> UIV 111 10141f DOS <br /> 1W P 1011141X SIE 400 u OI Mull4 j <br /> Lk1t . I 'NUL;Jul Ila II I10111 AVM. SIF 41311 <br /> ( <br /> !$ill RV Sidi <br /> Mat OR 91401 <br /> 541/682 56f7 1 <br /> 'RINT <br /> PaA IU: 1.034aEPRINT <br /> ` <br /> fl. i.a..t (D: 1251 !LW. IU: t.: <br /> f« 1I Me,clan ID: 1:51 <br /> . ID' f <br /> Term ID: Wi <br /> Phone Order Phone Order <br /> XXX IXXXuIi4' +? ammTzt9a <br /> VIS Entry Method: lenual KSTOB 1RD Entry iethod: KS <br /> Total: $ 190.00 Total: $ 30.00 <br /> 21/19 11:86:34 <br /> kw U; :s L. Agar Code: 012102 11w 9 13:02:14 <br /> Aw',d: Only* BatchU: 233681 !c I: dtF3606 Raor Cock: Sil2611 <br /> CV4;e Code: MATCH fl FT{tP��]rd: Onllmee� BatchU: 2001 <br /> Retrieval Ref.S. !bliUPe2 Code: fl9ICBA <br /> Retrieval RefA plolliki <br /> 1 agree lc..y about o.1a1 mount <br /> xcordIna le card Malum aarefaent I agree to nay ..boy total ....ant <br /> (Merchant aareaaen! ..f eredlt voucher/ accordsa, to card laver aareeeent <br /> (�� (Merchant averment if credit voucher/ <br /> —�5— 1 tf arm of 81a3 <br /> citMe..l.... Cw. <br /> M...I...., neer, <br /> • <br /> 1 1l IV IK LLCM. iU5 • <br /> IW I1 I0TA AVE SIC 460 • f{IT 14 lAW NS 97401 <br /> IW P I0111VESlt 4U1 <br /> tlA4tf. <br /> (541. 632 5677 f' 1E. LR 97401 I <br /> 1554421(.82.5677 +II <br /> REPRINT a <br /> bank 10. 1313 <br /> M...I.u4 IF,; 1251 Pans. 10: D: <br /> fn. f0: onMrral. ID: 1;71 <br /> r«. kr 0111 <br /> Phone Order Phone Order <br /> 1GU=0148181 YAMOOIX4821 <br /> VISA Entry Method; Manual VISA Enter Method: lianas: <br /> Total: $ 90.00 Total: $ 40.00 <br /> 08'21/19 10:36:91 AY21'19 11:03:28 <br /> Inv U: Od6ii62 kr Cock; 0334t Inv U: gal3 Alar Code: caR <br /> Aaorvd: Online BatchU: 23341 rand: Online Batch11: 2311 <br /> C012 Cede: lilICH PI CW2 Cad:: MCH 11 <br /> kd...evil Ree.a: 501 WJO1 <br /> Rec.ieva1 S44 a !111144..02 <br /> I mem to na, above total s..oamt <br /> Decordlna to card Iquer mei-emelt <br /> 1 ..rye to air above total amount <br /> (Merchant ereeaent if credit vacinrl x<erdi..a to card if credit .vac averment 1 <br /> !Merchant arena! if voucher/ <br /> • <br /> ,_El. nt' 8" <br /> „.i.chant f •r <br /> F k' (....vthe(hnu, <br /> .l 6e <br /> 1., <br /> L. <br />