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, . <br /> COY Of EUGENE PUS <br /> 100 W 10TH AVE SIC 400 <br /> EUGENE. OR 97401 : too w loin rivi. .bil.. 408 <br /> (541) 682-5677 <br /> EUGENE, OR 97401 i <br /> HEWER 61 ': (541) 682-56.:7 <br /> HEADER 61 i <br /> :' 07/07'21 23:02:10 i <br /> t <br /> ' , t Bank Iii: 1383 <br /> TOTALS REPORT A Merchant ID: 1251 <br /> Term ID: 001 I <br /> VNTV ; <br /> ; Phone Order <br /> t <br /> Card Cat Sale Total <br /> gggXXggan3 <br /> MC 1 422.62 422.62 1- <br /> MASTERCARD Entry Meil, - <br /> '-' Sale Total: $ 422.62 <br /> $ .. <br /> .-. <br /> 422.62 i Total: $ 422.62 <br /> , _. <br /> :40:25 <br /> Inv#: 000001 Ammr Code: 07532G <br /> Ammrvd: Online Batch#: 188001 <br /> k, <br /> CITY OF EUGENE PUS k AVS Code: ZIP MATCH Z 4,1 100 W 101H AVE STE 400 <br /> ...— <br /> . 01 EUGENE. OR 97401 <br /> I <br /> (541) 682 5677 CVV2 Code: MATCH M <br /> HEADER 61. .* Retrieval Ref.fi: 00100001 <br /> -, 7.:•.',.‘..;, t,4 <br /> rem ID: 001 Li <br /> xr, <br /> il I agree to pay above total amount <br /> -4. 23:02:15 g <br /> -21 07,07/21 according to card issuer agreement <br /> ,,,.-• (Merchant agreement if credit voucher) <br /> SETTLEMENT REPORT <br /> Batch Num: 188001 <br /> X <br /> Host Name: VNTV <br /> Merchant: 1 <br /> 1 $ 42G.. <br /> Sales : <br /> Refun.s : 0 . -- - $ 0.0. Merchant COPY <br /> Total : 1 $ 422.62 <br /> Settlement Successful <br /> E0OILR 41 <br /> , . <br />