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Uh U It ac i11S CIIY v E1KtK PUS I) <br /> CM R VUR LJ. IUB N IUDI PYf SIE 100 100 N 10111 PVE SIE 980 <br /> MO II 1U 111 PVi SI! nal EUGENE• 0R 91901 fIXNTt. OR 97901 <br /> E(5411 U3 97401 1991)682-5677 (991) 402.567? <br /> 19911 487.5677 <br /> REPRINT R PRI T REPRINT <br /> Eau; III 1383 ii..... ID: 1363 Bag; ID: 1303 <br /> n:,;lent ID: 1251 Merchant ID: 1251 <br /> Merchant(0: ID: 1251 lc,r.ID: 001 Tera ID: 081 <br /> lei l0: 081 <br /> Phone Order Phone Order Phone Order <br /> 14:401111YJ0 9191 1!i I. 11;00165 X1CC000CC00 x3988 <br /> K ERCa 3 Entry lethod: Haul 4IS4 Entry lethod: haul KRA Entry Method: Hanoi <br /> Total: $ 40.00 Total: $ 15.00 Total: $ 60.00 <br /> 0142120 14:41:21 0142/28 14:42:3? 01421 15:25:80 <br /> In7 l: s,:::, R*r Code: B(f19RC Inv 1: :.I::, t or Code: 002106 Inv l: s : ; kr Code: 016673 <br /> SS: Online Batchl: 14'01 p:vrYi: Online Batchl: l'61 1 (panel: Online Batch!: <br /> CVY2 lode: HATCH h Cti local Sett Code: etHATth h 0012 Code: PATCH It <br /> Ra tl'lOval Ref.il: 80100034 'Ceti 20100009 Retrieval Ref.': 401M Ut <br /> I an to oar above total ~Jet I awn to elle above total a.aunt <br /> I are to oar above total account according to teed Issuer aveeeant according to card Issuer avreeaent <br /> according to card issuer • escentOlerchant auraeaant If credit aokeax <br /> her) (Merchant egrnt if credit voucher) <br /> Merchant weee nt if <br /> credit voucher) <br /> Am31& <br /> L u ,e r rl—s--h o ,- __ ci'vi2a C� <br /> Mei dont fon <br /> CI PI 0f fUNlt f05 1111 U tIRUt 115 <br /> 1W II 10111 AVE Sit 401 1e 11 l AW Sit95901 + <br /> t(51) UR 57981 15.1.'0 <br /> (5911 662 5677 (541) 682-5677 <br /> 15•�'D + <br /> REFI I REP•INT0? 9:•00 + <br /> book ID: 1363 Bar; ID: 1383 15.00 + <br /> t4rolvnt ID: 1251 Merchant ID: 1255 1 fJ + <br /> Ter. ID: 001 Tcra ID: 001 <br /> Phone Order Phone Order r 005, .- • . • ' • aae <br /> 10090530141008148 15 •c <br /> OOiYx11(3433 t <br /> @Ig Entry Method: Hanna! 141STERf1490 Entry Method: Marvel i 4;.04 + <br /> Total: $ 40.00 Total: $ 15.00 /1)(4Q13 4;.C3 + <br /> 4. • J + <br /> 8142M 14:43:59 01A14 14:36:03 O!]3. . <br /> Inv l 1 (poi oi Code: 612040 Inv l:: ;c::; Pair Code: 094161et <br /> ipand: Online Batt*: 1171:1 tpond: Online Battht !17,11 <br /> C4N2 Code: Mgith h CW2 Code: IWTCH h I 6:-J.30 + • <br /> Retrieval Ref.e: 00103036 Retrieval Ref_N: 80113603 <br /> ra� a <br /> 1 ager to wv abo..e total asount I agree to gal,above total aawnt �U I 6 a j <br /> accord0,9 to card }fweiae averment seconding to card rd if issuer <br /> voucher) <br /> lV <br /> (Merchant se.nee (Merchant se eaae <br /> ^.a * <br /> Lf- ,MMLT4 �91'� x_ i r`�.. 259/49Ia.._ <br /> 157.-C3 + <br /> rerc4evnl CORY Merchant ease 12:C3 + • <br /> M <br /> :03 <br /> tatitip IRN15PCn6N E* 11 <br /> RYPIE11bINSACIIUN 13:.303le33 I <br /> ir <br /> 1 <br />