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I2""v <br /> CITY 0f t.11GENE POS. <br /> 100 N 10111 AVE SIT 400 <br /> ioH1 Ea.. i. EUGENE, OR 37401 <br /> HEADER C1 (541) 1'B2- 6T7 <br /> 23:02 : HERDER bl <br /> H4;H7.20 TOTALS REP REP° �T <br /> R1 <br /> 7HlY ID: 13831251 <br /> Merchant ID: <br /> Term ID: 001 <br /> lot.,! Order <br /> 100.00 <br /> Phone <br /> VS ------1--- 100.u,. J J <br /> Sale Total: $ (On 0 <br /> Total: 0 XXXXxXXXXXXX8642 <br /> VISA Entry Method: Manual <br /> Total; $ 100.00 <br /> 1 10:53:52 <br /> mgi�li20 Agar Code: 09421I <br /> CITY OFVI CAVES CPUS4 Inv p: 000001 6atoue: 6421I <br /> 100EUGENEI. ORE97401400 pparvd: Online <br /> NM <br /> (541) b32 5671 AVS Code, ZIP MATCH Z <br /> HERDER 61. <br /> lean IN (,(,I CVV2 Code: MATCH M <br /> 04i07.20 23:02:17 • <br /> Retrieval Ref.II: 30100001 <br /> SE11Lt!"IN1 REPORT I agree to oar above total amount <br /> according to card issuer agreement <br /> Hatch Nue• 930V1 (Merchant agreement if credit voucher) <br /> Host Name: VNTV ^ n �� <br /> Merchant: 1 /�j.!rv1 �/✓� <br /> $ 100.00 <br /> Sales : 9 0.7• <br /> ?otai <br /> Re u - $ 100.00 <br /> 1 <br /> Settlement Succeyi.1 <br /> Merchant Copy <br /> . . 41 , <br /> t 0 V f :INSRCTION <br />