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35349
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35349
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Last modified
10/14/2019 10:24:01 AM
Creation date
10/14/2019 10:24:01 AM
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I � b5 J 35'3yc\ <br /> Milt It unit HS <br /> 100 H 10111 AVE SI! 400 <br /> EWE*. OR i7401 <br /> (541) 602 5677 <br /> 10.09.19 21:62.07 WY a tllLtlE P <br /> 100 II 101)1 AVE Sit 900 <br /> turas GEPll1 is., 66 97901 <br /> 4911 6825670 <br /> Mli 'EPR NT <br /> Gra cat 5.1e Total Bail I0: 1383 <br /> VS 1 -25.00 -25.08 Merchant IU: 1:51 <br /> rer. ID: 001 • <br /> Sale total: $ •25.00 <br /> Total: 9 -25.80 Refun. <br /> XkYJ(x%M'aZ32 <br /> VISA Entry Ilethod: Nana! <br /> - • <br /> Total: $ 25.00 <br /> cllY Ill h UlL PUS S <br /> 1000 10TH AVE SEE 960 lnf.13 t <br /> EULEK. OR 97401 843/ 2 1 <br /> (541) 602 5677 89:18:21 <br /> Inc II: ;;t!,i kyr fade: 71606? • <br /> Term I0: eel A>ar'vd: Online 8atcha: 282gg1 <br /> 19/05.49 23:02:14 Pate ieval Ref..: alloam% <br /> KI I` 1 REPCRI I oyer to oar above fetal rant <br /> accodln9 to card issuer .greee.nt <br /> Bach MAO: 2Y1601 Inn-chant .arae.ent 1t creditvoucher) r <br /> HostNast:n1HTV A 1�}{ <br /> tcha : 1 _ I7 Fl <br /> Sale, 0 S 0.00 X <br /> Total 1 $ 25.0e Q' -- (1�) <br /> Settlesent Successful <br /> LC* Ite:ak .: C:ov V r�� <br /> vtb <br /> eta:WWIIt• Iltaa.AtlIal <br />
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