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CM:a El9ENC PUS I fl lr Of ELIENE P06 <br /> MY[F tu(NE Q115 1W Y lUlli AVE ?40 4U1 1W Y 1) r11 511 9w <br /> 1W Y !0111 WE $IF.96Y Mitt. GR y7901 <br /> ELUTE. (R 97901 <br /> FU'41I OR 97401 15411 Lift,56'7 15411 602.5677 <br /> 15411 DM 5677 t <br /> REPRINT REPRI T • <br /> REPRINT <br /> Bank 1L: 1703 SarA ID: 5303 <br /> flncKea IU: Machan! ID: 1251 Met dint ID: 1251 <br /> Merchant ID: lL51 Ti.. I0: 001 Tera 10: 001 <br /> lea ID: 001 <br /> • <br /> Phone Order y Phone Order Phone Order <br /> AMAdMMA/vt ;t+ 'mann <br /> �� Entry Method: Mahal VISA Entry Method: Maul VISA Entry&thud: Manual <br /> Total: $ 100.00 Total: $ 100.00 Total: $ 100.00 <br /> 10719 1019 (03:22:31 1848x19 (03:18:38 <br /> 86:22:56 Inv q: :,: , Inv u. ;.:na Noor Code: B Ir38 <br /> Inv il: :,,;sg tow Code: 1N112 <br /> far Code: • sal Avcrud: Online <br /> Aoarvd: Online Batchil ;a;s A6wad: Online Batch4: 3ddt381 Batd>q: o. l <br /> CVU2 Code: MD M CV47 Cody: M41CN M CVV2 Code: 1' TQj M <br /> Retrieval Rrf.Y: 10/10807 <br /> Rely oval Rift: %itakIC Retrieval Ref.Y: %130001 <br /> 1 +tree to✓m above total amount <br /> according 1 nen [o wp above total mount <br /> 1 erre. to wet above total amount <br /> ace-ding G cad inert areearnt (7laccMntm to cad Goth Orem.t <br /> 6, 6---- <br /> according to cad rawer a9reeaent (Merchant avreeaent if credit voucher) avreeaent If credit voueher/ <br /> IMactont avreea9nt if credit voucher) <br /> 6 �- <br /> (17 <br /> 1f_..G`�---- X C — L—•:------...—.--� <br /> tlu.b,d Cony <br /> Medal Can, Mer.h..,t Copy <br /> [liV Of E <br /> • <br /> CITY 01 ELUTEPDS4ELME0V6 <br /> 100 Y I1) AVE SIE 90e Clir(r FUGUE 14$ . OR 97901 <br /> EUGENE.WO 10M AYE SfE 900 <br /> EUGENE. Ot 97901 100 R MURK SIE 400 <br /> EUGENE.IS911 682-5677 EUGENE. OR 17401 (541)602-5077 <br /> 15911 E02 5677 <br /> REPRINT baa I . 1381 <br /> nr<h«.t ro: 12 <br /> Bark ID; ua7 REPRINT Term m: eel l <br /> Merchant 10: 1251Itertl ID: V.Dna ID: 1'387 - ' <br /> Tem ID: 001 <br /> (eRefund <br /> Phone Order fee 1D0:: e01 <br /> Refund /X <br /> )300000000011684VISA ntry Method: MaulMASIENC�+D Entn Method: Marna! ivit 01 ie Total: $ <br /> VISA Entri Method: Mahal 75.00 <br /> Total: $ 60.00 <br /> Total: $ 50.00 104719 08:03:16 <br /> 10'219 08:21:al Inn I: sv• kr Code: 784576 <br /> 18 <br /> Inv II: .,fr:7 kw Code: 8�7t�31y51 ;;;e? 730719 88:16: Avavd: Online Batchq: '.o;s <br /> Awrvd: Online Mehl: �7 Al Inv I: Code: 42739] <br /> Reg.-teal Re(.u: 90133+17 <br /> W2 Code: MAIM M Anand: Wirt Bat x;1181 I aseee to Oaf ,Love total .,aunt <br /> Retrieval Ref.Y: 0.11010d6 Retrieval Rd.Y: 3tl1YlHU8 accordingto cid ismer natant <br /> Herdant/// .. <br /> araent if credit voucher) <br /> I cordr to oar ris ea <br /> total amount Catoaw Coen / / <br /> according, <br /> issuer to cd aver .+reent X (� U <br /> (htrchant Yrement tE c it vocl.n.l / <br /> X G /L/./D/V�� I Kr,cI.vd Car <br /> ".- Eallte Eb 116116A1:11011I <br /> I <br />