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X3552 Jc 21 • 1 � <br /> 1111 U Iua1R P14 <br /> lW N Id111 Ott SIT 9W OWE. <br /> U Wilt PIPSMit. ON 97401 <br /> 100 CITY Of Euflt PDS 1W N 10TH AVE SIF 9UU <br /> (6111 6025677 4 10711 AVE SIE 900 OWE. 02 97901 <br /> FGR 97901 1591) b62 6677 <br /> 1541)0029677 <br /> 1041,13 21;02;05 • <br /> TOTALS eV <br /> REPRINT <br /> I�I�4 Sark 10: 1783 8.6.1. IP: 132;(1 <br /> 1Ri1 ll.rcl.ant 10: 12b1 Merchant ID: 1251 <br /> in ID: Del Tan IU. eel <br /> Cad c..! 51, TotalPhone Order <br /> VS D 71550 T35.00 Phone Order yyyyy� <br /> Sal. Total: $ 735,011 �� xamo <br /> Total: $ MOD VISA Entry Ikthod' (lanai <br /> Entre 6zthod: Anal PISA <br /> Total: $ 115.00 Total: $ 100.00 <br /> 182119 10/1119 <br /> 88:18:31 13:46:51 <br /> CITY OF Witt POS Inv b: 6l :61 A cr Cade: 831268 lm•N: 886083 Axe fork: ;s�3T6 <br /> 100 N 10TH A E STE 900 <br /> J <br /> . oR 97901 : Bnline arud: Onlin2 682.5677 Batcha: 2391 <br /> eI.n: Retrieval R.fl. W1U$2 <br /> ID: 001Rtruvpl &f.n: 6Wttul 03:02:10 I agree to per mount <br /> 1 rave to oat above totsl :mount <br /> far *ocotillos to coed issuer nl <br /> according to ted laver aoeee•ent <br /> IflP 1 <br /> *Merchant awaaent if credit smother) <br /> 1l1•"tk•nt aree.ent .f credit voucher) <br /> th : 291001 (�/k `a <br /> /.p <br /> RosNi :a <br /> Host71V <br /> hanty ry vN y. / <br /> Sala : 8 $ 735.00 �— <br /> luttal : 8 735.BD <br /> Settlesent Successful <br /> WY or Walk PUS <br /> CT(Y Of EWfI[PDS IVO N IODI AbE SIE 400 <br /> 104 N 10111 AVE SIE qWU EwEIE. OR 97901 <br /> Erl�1!. DR 97901 15911 402 5677 <br /> x.5677 <br /> 0. <br /> REPRINT REPRINT <br /> Dant ID: 1381 ee. 10: <br /> l0«.k ID: 1383 <br /> Herthant 10: 1251 Ho 10: 32$1 <br /> TM 10: 001 fe501 <br /> 15• + Phone Order <br /> S01 Phone Order <br /> C._. , <br /> 15. c '0628 Xk X CC+7(2161 <br /> VISA I VISA Entry(lett: ItTn el <br /> Entre Method: (lnowl <br /> 1 : + Total: $ Total: $ 60.00 <br /> 6_•:: + 60.00 <br /> 6 • + 19 11g9 181/19 13:52:18 <br /> 1_2 + Ire N: ;:Ir ; 13:52:57 Inv II: aT Ailrr Code: 832395 <br /> 1—• + Inv <br /> 1:: Online kw Code: WCAavrvd: Online BatS: 294801 <br /> 8atchG: 294 <br /> + CVY2 Code: NUM <br /> 881 CVV2 Cade: ND M <br /> çcr- 7. :.: <br /> t . + Retrieval Refs: %l0 esu Retrieval Ref.4: 6/100695 <br /> 3 agree to Oar I I acres amount <br /> to par above total <br /> 62;;.1 Kcprd ng o above lob! swot so:ordiae to card Issuer areae it <br /> card sarwr atreaaenf Merchant awge.ent of credit voucher) <br /> t if credit voucher/ X_---C - <br /> =02 • . .• <br /> 735•c_ <br />