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l <br /> Cllt O LUWMI. PUS CIIY OF MIA WS <br /> 100 R 10TH AVE SIE 404 IW R 10TH AVE SIC 400 <br /> �1'�97401 METE. O1 97401 <br /> 15411 6925677 <br /> 11/6Y19 23.02:16 REPRINT <br /> 1014.SI P(RM <br /> taut ID: 1393{/ <br /> 7\ ) <br /> WIN <br /> Merchant ID:,T251 <br /> I'II�I' Ten ID: NY <br /> Card Cot Sale Total Refund <br /> VS 1 -37.50 -37.56 <br /> Sala Total: S -37.50 1141 11 11 8e <br /> Total: S 37.50 VISA El t r Method: flannel <br /> Total: 37.50 <br /> 1115719 , 13:53:50� p0 <br /> CIIY CR tUA1E POS Inv I��:, iii', Amy <br /> o CC-Le: 5122686 <br /> 168 u 10TH AYE SIC 403 AL1TW: Online D3tchL 329001 <br /> EUGENE. CR 57401 Rete trwl Rei.e. :Wu/kb' <br /> 15411 692-5677 <br /> Taro !U: 001 l mords to oar above total reenan <br /> atm-dine to card issuer avreewnt <br /> offluiteff <br /> 23+02:16 (Merchant acrenen�t a credit vou0wrl <br /> Ur -1 e/V N ' ..• <br /> NastNoe: 329001 ��llW..--CCC///V �-V�. <br /> Nast lure: 141710 <br /> Merchant: 1 <br /> Salva : 0 S ,,, Me,cI...t Copy <br /> 2107 Iwo <br /> To : 1 S <br /> Settletent Successful ; <br /> EI&WNW IKAHSACI1M <br />