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I <br /> � I2-b119 <br /> rotas FfIkVI <br /> MN <br /> C..J rot Sat. lata) <br /> tS 2 IU.tiU tv.w <br /> CII f OfMINEfat SIE <br /> t11Y UI teat[ HK <br /> Sala total. f Itl.w IUU II WIII Lh SIE aW IW 11 t'a faE SIE Otlfl <br /> total' t QU.t1J fllltlE. lYt 97901 tU1p IR 97901 <br /> 1.911 Ste 5677 ).911 wit 5677 <br /> PRIN RE"INT <br /> ea u' t3&S Ibis w 1 03 <br /> Merchant I➢: Ikrahant 10: I[$L <br /> Term ID: <br /> Trot !0: EtM <br /> till ff ttaaltE PUS <br /> LW o 1411)AVE SIE 9W Refund <br /> Euc . Je 979.1 Phone Order <br /> 15911 tS256Y7 <br /> IIHN 11111 s >aJ Nqp <br /> 7e.. IU: tlu7 1 YISS41 Entry Ikttvd• °.Itual VISA Entry Ittihad: Maul <br /> qI%4'IY .3 Vla9 <br /> Sfr1lEJ�N1 rfPgir Total: $ 1 5.00 <br /> Total: $ 125.00 ' <br /> b,i'')LVR gym' fiL'�19 '13:11;68 8B'2G'19 <br /> ienI.a,t. t ; , 13:1^, to <br /> Ircd 1: : s! kar Code: 1/6111 Inv II: Btd�B V Par Code..`,1 i'3 <br /> bat.. 1 f 1,,..00. <br /> 'f,.W ' I Pond: Online rl; W <br /> Awad: Online Batch: t,,,l Bat a �ita:l <br /> Total19.w Reu steal Net.u. lUlutwl Cry2 Code: M IDI11 <br /> Settle�Rnt co. <br /> 1 axe• to oer above tot.! a.amt K"',.,,..1 Rri.0. WlUdall <br /> accordion to card Ifta.r afrewnt <br /> SMerchant avr....nt if erad1t voucher/ I owe, to no, covettotal amount1( scardtnv to ted lawn awaaeeni <br /> 12 <br /> n <br /> ( '2 <br /> tMrchsnt wee.mt if credit <br /> �vouci.rl <br /> X _ Cl x s ( . -11i' <br /> ISer.Ii..A Cuts <br /> 5C. Ce * <br /> 125•^0 + <br /> J01 <br /> 125.:^ * <br /> Ole 0 <br /> 0e * <br /> 125•_0 + <br /> 30 � �1 <br />