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Ra <br /> CITY OF EUGENE POS <br /> 120 14 10111 AVE SfE 400 <br /> EUGENE, OR 97401 1,11'! nl i'e,EilE PUS <br /> (541) 682-5677 100 N lN(N ,bE S4E 400 <br /> HENDER 61 LIUrNE. ln "7401 <br /> REPRINT 1541i __ u,T <br /> HEADER Cl <br /> Bank lN: 1383 R °RINT <br /> Merchant ID: 1251 <br /> refill ID: 801 Bank lb. 1383 <br /> Merchant ID: 1251 <br /> Phone Order Term ID: slut <br /> XXXXXXXXXXXX4250 Phone Order <br /> VISA Entry Method: Manual XXXXXXXXXXXX3224 <br /> T1: 60.00VISA Entry Method. Manual <br /> Total: $ 60.00 <br /> 09/09/ 10:26:56 <br /> 1 : 000001 APPr Code: 012953 ! 0949i20 14:01:33 <br /> APPrvd: Online Batcha: 100001 I 0002 Code: 051022 <br /> CVV2 Code: MATCH M APPrvd: Online nat;hh' 100001 <br /> Retrieval RrfJI. 101,,,o001 CVV2 Code: <br /> MATCH M <br /> I agree to Par above total amount Retrieval Rrf.q: 3010000E <br /> d <br /> ng <br /> (Merchant agreement if crediuer treementr) <br /> vouch <br /> I agree to PaY above total amount <br /> according to card issuer agreert.“ <br /> (Mer hant agreement if credit vouch,/) <br /> V (7 (.) • Mi'litAj <br /> Merchant Copy (,l OQ ------- <br /> R1 lA <br /> FUI)TLR 41 <br /> ENCRYPILi fRAUSAt; <br /> tOUItR 4i <br /> ENCRYPILD IRAMSAiIIOU <br />