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,- <br /> ( 5- e <br /> i <br /> 2-':„..........DP'' . <br /> Of EUGENE PUS <br /> 10TH AVE STE 400 <br /> =NE, OR 97401 <br /> 11) 602-5677 <br /> ('ADER 61 <br /> CITY OF EUGENE POS CITY OF EUGENE POS <br /> 23:62:09 100 W 101H AVE STE 400 I00 W 10TH AVE STE 400 <br /> 1LJ REPORT EUGENE, OR 97401 EUGENE. OR 37401 <br /> 7 REPORT <br /> 1591) 682-5677 (541) 682-5677 <br /> HEADER 61 HEARER 61 <br /> VNiV REPRINT REPRINT <br /> l` Total Bank ID. 1383 <br /> Bank ID: 1383 <br /> Merchant ID: 1251 Merchant ID: 1251 <br /> .UU 110.00 Term ID: 001 Term TO: r: <br /> 110.00 <br /> Sale Sale <br /> $ 220.00 <br /> • <br /> $ 220.00 DXXXXXXXXXX1198 XXXXXX=0(3655 <br /> MASTERCARD Entry Method: Manual VISA Entry Method: Manus <br /> Total: $ LW.CA) Total: $ 11°.CA <br /> EAVE STE UGENE POS 01/05/22 08:05:22 01'5/22 08:03:5( <br /> O2-567714� Inv u: 000002 per Code: 00051C Inv a: 000001 pear Code: MAiR7.61677 <br /> ppprud: Online 8atchU: 005001 Apprvd: Online Batch : 005001 <br /> D: 001 Rctr ieval Ref.N: 90100001 Retrieval Ref.N: 80100001 <br /> 23:02:15 I agree to par above total amount I agree-to par above total amount <br /> [REPORT according to card issuer agreement according to card issuer agreement <br /> (Merchant agreement if credit voucher) (Merchant agreement if credit voucher) <br /> 001 <br /> NTV X__ <br /> $ 22u.00 <br /> $ 220.01T Mcrchaa CONYMerchant Copy <br /> at55ful <br /> MITER 41 CUOTER 41 <br /> ENCRYPIED IRANSACIION ENCRYPTED TRANSACTION <br /> qz/),(oo• 'q ).3• J J• ;11 <br />