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35873
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35873
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Last modified
11/4/2019 10:20:44 AM
Creation date
11/4/2019 10:20:43 AM
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I. — _ rr <br /> J <br /> 1 <br /> CITY of taut RDS <br /> City U EUGENE RDS 100 0 10tH AVE SLE 400 <br /> Luo R 107H AVE SLE 4410 taut. DR 97401 <br /> OWE. DR 97401 (541) 682.5671 <br /> CITY U EUGENEEUEPDS (Salt 6025677 <br /> 100 u lent CR 0 4118 REPRINT <br /> EUGENE. CR <br /> 1$911^"262-56" REPRINT <br /> (tr& ID: 1303 <br /> REPRINTa chanDt 101251 : 1251 <br /> Tero`001 <br /> Ten. ID: 0001 <br /> Oak ID: Iilli Phone Order <br /> Ler.. ID10: 0 <br /> TerID: 1251 Phone Order <br /> : 01 <br /> Phone Order OCCXX000a830 <br /> VISA Entry <br /> Entry Method; Mans! �"I Entry Method: Oanel <br /> Entry Method: Manual <br /> Total: $ 60.00 Total: $ 100.00 <br /> Total: $ 100.00 1041/19 10:18:33 1rn4/19 :19:22 <br /> AMC <br /> 10/30/19 Inv t 6 � Awrvd: Batch: 3836€1!rn ': ;;,.v Avurro, Online Batch: 31121 CW2 Code:Online M <br /> Ur Code:: 91 CVY2 Code: MAICH M Retrieval Ref A. 0)1 0002 <br /> y�n/nd: OOOniine Batcht 1 Retrieval Ref.u: 00100014 <br /> C^y,", Code: MICH M I agree to oar.Dore total atllnt <br /> Retrieval Nat.a. *100010 I agree to oar above total mount rcordire to iLcfter areearot <br /> according to card issuer <br /> eesentlerdaatareVcredit voucher) <br /> ) <br /> (Merchant are.aeif credit vaxhe ) <br /> I agree di to oar .dove Ler amok /) / ' y <br /> according re card if ore agreement (6./J A <br /> (Merchant areemrnt/if credit vovchn-) 4 11..77 <br /> 6)(7-- <br /> Iki.l.,.i,t Ccev <br /> • <br /> LIN OIL LU4:IE PI75 <br /> 100 H 10111 AYE SIE 400 <br /> [lir 01 SAVE S C -1 WM. Ji Si401 <br /> CI1Y U LUf)E ROS 100 0 1D111 AVE STE 400 (5411 t42 5677 <br /> IW If 1801 AVE SIE 4W EUGENE. DR 97401 <br /> 1541) <br /> Witt. OR 97401 1541) CO2 SC7i <br /> 15411 602 5617 REPRINT <br /> REPRINT 'EPR T D..A ID: 1303 <br /> 0x0. ID: 1'03 H.v i hail( ID: 3251 <br /> Ten. ID: 001 <br /> tlaa ID: 1383 Me.chant 10: MI <br /> ItochantID: Ebl Tern ID: 001 <br /> Ter. ID: Del Phone Order <br /> Phone Order Phone Order 1OO)XX0CX0l11039 <br /> MXXl3=1358 VISA Entry Method: Manual <br /> YISA Entry Method: Manual VISA Entry Method: Maul Total: $ 100.00 <br /> Total: $ 60.00 Total: $ 100.00 <br /> 113449 88:33:12 <br /> 18/30/19 0d:17:12 <br /> 10/72/19 88:22:09 Inv I: 800811 Anon Code: 012697 <br /> Inv I: kyr Code: 010353 Int ': r, 16 Amor Code: 81;' . Aaorld: Online Batch': 30 81 <br /> fared: Online Batchq: :18353 rykcrvd:Onllyinndery Batch': 3681 CM Code: MIDI M <br /> CW21y,ry1 CVV2 Code: IWICH M Retrieval Ref.a: iOlakl3 <br /> CYY2 Cede: MAICH M Retrieval kef.u: 001000/0 <br /> Retrieval Ref.11: 20101.Uf3 I agre to tri Lne total amount <br /> according to card issuer areeuent <br /> I agree to maabove total amount namount1 agree to Rev rd issuer <br /> total a.win! according to carduerr <br /> issuer arent (Merchant'tenant if credit voucher/ <br /> according to card suer areeent (Merchant avreernt if credit voucher) r. l <br /> (Merchant aree.ent if orediwox6er) � r/'' (`l7 y'!! <br /> Hn..A..� r.. <br /> Mei.d..d Civ. 1 <br />
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