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36333
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36333
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Last modified
11/19/2019 4:45:59 PM
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11/19/2019 4:45:59 PM
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Ills Cl Etatit PUS CITY Of EUIiIE DOS <br /> 100 fl 10TH AVE SIE 91e1 l00 U 101H AYE STE 990 <br /> L1fElE. OR 97401 EUGENE. O<97901 <br /> (541) 682.5677 15971 VC2•5677 <br /> Ills 11 Wirt FUS <br /> Ivo R ION AYE SIE 909 REPRINT REPRINT <br /> LIAM. CR 97401 <br /> (591) 6025677 <br /> Baal ID: 1383 Bel 18 1383 <br /> Il l&19 <br /> Merchant ID: 1'r51 Merchant ID: 129't <br /> 23:u::06 Mer. ID: 001 Tel ID: 001 <br /> iORS 'arri Phone Order Phone Order <br /> Mar.I>00X8352 X1)00=0952 <br /> crd Cnt Sale Total ' VISA Entry Method: Mantel VISA Entry Method: Manual <br /> VS 2 19 <br /> 006 1.961.00 Total: $ 100.00 Total: $ <br /> I 500.0d <br /> Mt 90.00 <br /> 580.00 <br /> Sate loll: <br /> Total: $` s 0:a I1i18/19 14:11:25 1L18/19 14:16:42 <br /> Inv ii: ,.;.:c Alar Code: 63634 Inv II: v 1.1 Par Code: 518153 <br /> toorvd: Onlire Batcho: 322081 WA: Online BatchS: 322911 <br /> CYV2 Cade: It4iCH iI CVV2 Code: M ICM M <br /> k.tri.wi kri.ll: OUIU00U2 Retrieval Ret u. %ia i <br /> CITY O Editt P05 I awn to Par above total amount I tree to oar above total <br /> 160 R 10111 AVE SIE 900 accrdira to card issuer aesvnt according to crrd Issuer samount <br /> nt <br /> EUGENE. U9 97961 Merchant aree.ent if credit voucher) (Merchant areeaent if credit voucher) <br /> 1 682-56T7 <br /> Teem ID: 001 a._ & v (/'O1541 <br /> 7�[y1�p[ 23:D2:11 <br /> RVI I 1 l4..ha.t Cwv Mu.hoot Care <br /> Batch Na.: 372071 -- --- - <br /> Host Ra.e: VMIU i <br /> Merc .t: t . <br /> h <br /> Sala 3 S . <br /> V s <br /> Total 3 S Cl1Y Of ttL1t PCS <br /> 780 II 1010 AVE SIE 900 <br /> Settlece (SILl <br /> nt Successful EIN 56901 <br /> 15911 bar-s6rr <br /> REPRINT <br /> Bal ID; 1393 <br /> Mn that ID: 1251 <br /> In.. ID: 801 <br /> Phone Order <br /> gl/00 003007221 <br /> MASiERCAOD Entry ietlad: Mann! <br /> Total: $ 500.00 <br /> 11'1849 13:29:53 <br /> Inv II: ar: APR'Code: Nits <br /> trod: Online BatchS: 322(491 <br /> CW'2 Ca: INi(11 i1 <br /> Ret.v.v.l R.f..: lulgaA)1 <br /> I gree to Pa dow total saint <br /> according to card issuer avree.ent <br /> (Merchant areennt if credit voucher) <br /> Dadeti <br /> z/2 C) <br /> Ai4r4, 8- <br />
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