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A 0 <br /> Z <br /> Etre If Wilt PUS CITY U LUW& Rb <br /> L08 u 10111 AVE SIE 900 lee M 10111 AVE SIE 400 <br /> 1UEDE. 0R 97901 lati. 0R 97401 <br /> (541) 6825677 (541) 61:2.5677 <br /> REPRINTREPRINT <br /> bei(. ID: 1383 I Bare ID: 1301 <br /> Merchant ID: 1251 Bervhant ID: 1251 Term ID: 001 1 11:::hit: 001 <br /> Phone Order Phone Order <br /> laMaI0653 YJIMU'lCCWKX%i <br /> VISA Entry Method: Ramal VISA Entry IkIM4: Kraal <br /> ' Total: $ 100.00 Total: $ 100.00 <br /> 1V14/19 16:11:15 10/24/19 16:21:23 <br /> Inv I: 000163 Aacr Cods: 09ED Inv 1: 86(6C6 kw Code: 0081000 <br /> Aacrvd: Online BatchS: 297I9B1 Acvnd: Online Batchl: 297031 <br /> CVV2 Code: MID II CVV2 Code: INCH R 1-111 I D D 6 4 2 5 2 <br /> Retrieval Ref.9. 501001,02 Retrieval Ref.B: 2Mt&IY 30-7 CM_L 6(17 01 <br /> +Jp <br /> 1 agree to moabove r above total amount I awe. to oar ae total amount :::.•CO + <br /> according to card issuer agreement accordino to crd .maser agreement <br /> (Merchant areement if credit vaxfrr) (Merchant agreement of credit voucher/ <br /> x [ V Liii----- _______ _ _ <br /> I • + <br /> iI IV OF EUGENE PDS <br /> 10014 IOW AVE SI( 4s0 I CITY 111.t10ElE KS : 4 <br /> 1116fMt. U7 97401 10)u 10111 AVE SIE 440 <br /> (5411 692.5677 Eta3:'/E OR 97481 j + <br /> 1541, 602 5677 - <br /> REPRINT + <br /> REPRINT 6 • - T.T. + <br /> Balt 76: 1383 <br /> Merchant.,. lfl: ID: 1251 0a4. ID: 1383: ?G9 <br /> Ifni 711: WI Ba*ID: 1251Tors * <br /> Phone Order Sale <br /> xixXx1CCJI001 -• * <br /> VISA xeiliDL 1x:{33 <br /> Entry Ret oj: game! VIS4 Entry'lethal: Chin 3,• + <br /> Total: $ 100.00 Total: $ 60.00 76..• + jr' ';1 ' G ,. <br /> t. <br /> 02 tt ';t` 1 <br /> In'p 19 16:23:20 i la 2419 14:15:42 ' I <br /> Ra Cada: 8404 I Inv d: (t1G3B2 kr(Code: :ari 7 <br /> Accrvd: Online Batc91: 297&3I <br /> CVVt Code: RRiCR R ; Retrieval Online Batchu: 291131 <br /> RetrJwal Ref.a: 70111700; keineval Ref.a: 9b1UUW1 <br /> I era et to oar above total amount • _ {4A jt: <br /> I agree <br /> w.. <br /> according oer a6we tele! moth.: x..rdin9 to card issuer asreeaent Itt 1 • - <br /> to lard Issuer agreement I br(Mnt agreement if credit vacicr) t <. <br /> l .t+sret"nt :f credit voucher e t 4 �.�• <br /> yy <br /> "'Li th..�—^ 71EW210I `. J,1rr_ : <br /> VISA tAEDI I - •-. J <br /> AID: A000YEsW31010 - <br /> f51: 6880 ::-ram? <br />