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4' 5 i Od <br /> C t I"Y OF EIi6ENE PUS <br /> 100 H 10TH AVE SIE 400 }. <br /> EUGENE. OR 97401 CITY OF El16ENE PUS . <br /> (541) 682-5677 100 H 10TH AVE STE 400 i <br /> HEADER 61 EUGENE, OR 97401 <br /> 08%021 • (541) 682-5677 <br /> 23:0'210 HEADER 61 <br /> TOTALS REPORT a EPRINT 1 <br /> MTV 1 Bank 1D: 1383 6 <br /> Merchant ID: 1251 <br /> V Term ID: 001 <br /> Carl Ent Sale Total '' <br /> - VS 1 37.45 37 45 y yyy y y yvPhone Order i <br /> Sale Total: $ <br /> Total: $ 37.45 1 ' XXXXXXXRXXXX4061 <br /> 1 VISA Entry Meth r a 1 <br /> Total: $ 37.45 <br /> CITY OF Ell(iENE PUS 08/05/21 09;12:41 <br /> 100 H 10TH AVE STE 400 �In"V o 00�1 i1 Appr Code: 060326 <br /> EUGENE. OR 97401 Apprvd: Online Batchh: 217001 <br /> 1541) 682-5677 <br /> HEADER 61 CVV2 Code: NOT PROCESSED P <br /> Term ID: 001 Retrieval Ref.11: 00100001 <br /> 08/05/21 23:02:16 <br /> I agree to pay above total amount <br /> SETTLEMENT REPORT according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> Batch Nut: 217001 --5axtut) <br /> Host Name: VNTV Merchant: 1 X_ <br /> S° 1 $ 37.45 <br /> Total 1 $ 5 J. <br /> Merchant. Copy <br /> Settlement Successful • <br /> FOOTER 41 <br /> ENCRYPTED TRANSACTION <br />