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(......_ 6 4 2_, ,n ,2...0 j <br /> __,........_._.____._.__._._._ <br /> (I i Y U! I U(I NUS <br /> luu H 101h A0C iE 40u <br /> 1_06E14E, OR 97401 <br /> 1641) 682 5677 CITY Of FUGENE PUS <br /> HEADER 61 100 N 10TH AVE SIE 400 <br /> EU6FNE. OR 97401 <br /> 23:0'L;elb 06.29'2U (541) 682-5677 <br /> HEADER 61 <br /> TOTALS REPORT PRINT <br /> VIM Bank ID: 1383 <br /> Mer,.hot ID: 1251 <br /> Card C„t Sale <br /> Total T Term ID: 001 <br /> 1097 <br /> 1 1097.i9 .19 <br /> V5 Phone Order <br /> Sale local g 1.057.79: 1,097.79 XXXXXXXXXXXX9024 <br /> Taa1, <br /> \ . VISA Entry Method: Manual <br /> Total: 1,097,79 <br /> CITY Or CUGEWE PUS ' 06/29/20 11:52:47 <br /> lUOEUGENE' ORE97401SIC 4yIu Inv 4: 000001 APPr Code: 06040D <br /> (541) 632 5677 flpprvd: Online 8atchb: 181001 <br /> HEADER 61 <br /> Ter 10: U01 CVV2 Code: MATCH (1 <br /> 23:0'2:14 <br /> Retrieval Ref.U: 9E000001 <br /> o <br /> SEIILENENI REPORT I agree to Pav above total amount € <br /> according to card issuer agreement I <br /> (Merchant agreement if credit voucher) <br /> Batch Num: 181001 <br /> Host.Name: VNTV <br /> Merchant: 1 <br /> 1 $ 1 09 7.'9 X <br /> Sales ,y,�,�,,jj �p,-,(, <br /> • an s=r 0 ,:. 1,097.79 5-hl l -tree a3re /V N <br /> Total <br /> Settlement Successful Me,,ha.1 COPV <br /> -free 614,61,151/7 -Fee <br /> cw�is S ^F001( ER 41 <br /> �• ENCRYPTED TRANSACTION <br /> • <br /> f' , f <br /> I' t. q` dk��tr�',f R <br />