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Q ILo. <br /> J <br /> CITY OF EUGENE POS <br /> 100 W 10TH AVE STE 400 CITY OF filiEiJE PUS <br /> EUGENE. OR 37401 100 U 10TH AVE SfE 400 <br /> (Sgll 682 5677 EUGENE, OR 87401 <br /> HEADER Cl (541) 682-5677 <br /> REPRINT NEARER 61 <br /> Bank ID: 13d3 REPRINT <br /> Merchant ID: 1251 dank If.: D: <br /> Term IU: 001 Merchant ID: 51 <br /> Tenn ID: 001 <br /> XXXXXXXXX ' , - Refund ' - <br /> VlSR n ry Method. Manual IIW- <br /> XXXXXXVRA ; - - <br /> VISA Entry method: Manual <br /> Total: $ 40.00 Total: $ <br /> 40.00 <br /> 05/14/20 12:04:52 05/14/20 <br /> Inv 4: 000004 APAr Code: 992064 Inv is 000001 App : 464:28 <br /> Apprvd: Online Batch4: 135001 r Code: 6946 <br /> Retrieval Ref.6: 10100002 ppArud, Online Batcha: 135601 <br /> Retrieval Ref.0: 10100001 <br /> I agree to Par above total amount <br /> according to card issuer agreement I agree to Par above total amount <br /> (Merchant agreement if credit voucher) according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> • <br /> r X °la:2 5 ______44... x 6/i3 46 . <br /> Merchant Copy <br /> M •AVl Kii; <br /> � { Merchant Cop/CD. 'I16.-°:Y. <br /> FOOTER 41 <br /> ENCRYPTED TRANSACTION EWER 41 <br /> ENCRYPTED IRANSACTION <br />