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CllY OE EUGENE PUS <br /> 100 W AYH AVE 51E 400 <br /> EUGENE, OR 97461, <br /> (541) 682-5677 <br /> HEADER 61. <br /> RPRNT <br /> Bank ID: 1383 <br /> Merchant ID: 1251 <br /> Term ID: 801 <br /> Phone Order <br /> XXXXXXXXXXXX3242 <br /> • <br /> VISA Entry Method: Manual <br /> Total: $ 80.00 <br /> 07/29/20 <br /> Inv 4: Mel12:4S:57 <br /> APPr Code: 02188G <br /> APPrvd: Online Batch4: 211001 <br /> AVS Code: EXAC MATCH Y <br /> CVV2 Code: MATCH M <br /> Retrieval Ref.11: 40180001 <br /> I agree to mei above <br /> total <br /> according to card issuer agreement <br /> (Merchant avreement if credit voucher) <br /> � e <br /> Merchant COPY <br /> FOUTER 41 <br />