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Pc.52- 5rLO <br /> CITY OF FUGENE PUS trlY OF EUGENC PUS <br /> 100 0 10111 AVE SIC 400 (00 W IOTN AVE <br /> STE <br /> EUGENE. Ore 974ii1 EUGENE. OR 974 1900 <br /> (541) bn -s;. (541) 6825677 CITY OF EUGENE pGS <br /> HEADER LI HEADER 61 100 W 101N ii;'E STE 400 <br /> EUGENE. ON 77401 <br /> 'EPRINT ` 'RINT (541) 68_1677 <br /> NEaorx 61 <br /> Bank ID: 1383 ,..,-------- <br /> REP'8mrk I0: 1383 � <br /> Merchant ID: 1251 "` Merchant 01 1251 NT <br /> -!7;;;;711-1-111111111 <br /> Term ID: 001 Ter Iv. 001 <br /> E6nk ID: 1:.38 <br /> Merchant ID: � <br /> RefUt . _ erm ID Y <br /> XXXXXXXXXXXX4102 XXXXXXXXXXXX7581 <br /> VISA --€n r"v Method: Manual VISA X <br /> ntrY Method: XXX <br /> Total: Manual ISA <br /> Total: $ 15.00 $ 110 00 Entry Method: Manual <br /> 05'11/20 Total 90.00 <br /> 05i11i20 15:41:56 Inv II: 000001 14:00:19 <br /> Inv a: 000005 pppr Code: 356152 ppprud: Online pppr Code: 036135 ;I:IVT :.':52::1:1'ji14:-1 <br /> 14:48:24 ippprvd: Online Batehu, 132001 Retrieval Ref.11: BUlOGGO,. Bat:ha: 132001 : pppr Code: 400818 <br /> Retrieval Ref.)I: 50100004 ppprvd: <br /> Online Batchtl: 132001 <br /> 1 agree Retrieval Ref.11: 001pO0G3 I�' <br /> I agree to Pay above total amount to nay carddois total amount <br /> according to card issuer agreement IMerchant g to issuer agreement <br /> (Merchant agreement if credit voucher) agreement if credit voucher) <br /> 1 agree to pav above total <br /> according to card issuer amount <br /> X__!..e_i__, ..2 — C6-1/71).j'l 1 <br /> (Merchant agreement F cr'editr oucher) <br /> 'li J' Il 'J` — r <br /> Merchant Copy Merchant Copy / /*� /i I� ./ <br /> i 0 1 t AC\ ' L' ' <br /> 6 ) (I)- ( C-1 Merchant COPY • <br /> FOOTER Al FOOIER <br /> ENCRYPTED TRANSACTION ENCRYP!I 1kANSACIION <br /> FOOTER 41 <br /> ENCRYPTED TRANSACTION <br /> i <br /> r-- Cl, j 'b <br /> r r r <br /> •�' �1 .n LC7 ro .- n i- <br /> N'� j ^ ram: "5 a <br /> fJ � U6 o A� r) r.. <br /> Ir C, r) i . :146 <br /> cv <br /> co <br /> ,ciz:. ,_.. <br /> ji_-_•_:. <br /> 0 <br />