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(----1 ° q . 2:2 ... <br /> OF EUGENE POS <br /> 1.01TI AVE STE 400 <br /> ENE, OR 97401 l <br /> 41) 682-5677 1 > <br /> HEADER 61 '�" <br /> CITY TY OF EIJOE E POS <br /> 23:02:05 5 100 N 10TH AVE STE 400 <br /> E.UGENE., OR 97401 <br /> iALS REPORT 4 `SHEAER2 D 61 <br /> UNiU ' REPRINT <br /> Sale Total Fast: ID: 1383 -________, <br /> Merchant I0: 125 <br /> 10.00 -110.00 1 Term ID: 001 r <br /> s Alum e Refund <br /> XXXkfk f '4 <br /> VISA ntry N .hedlNallual <br /> Total: $ 110.00 <br /> f OF EUGENE POS <br /> 310TH STE 400 <br /> ENE. ORE 97401 04/19/22 :27:55 <br /> TE) E8261677 <br /> 61 Inv A: 9s',�01 APPr Code: 03035G <br /> HEADER <br /> Term ID: 001 APPrvd: Online Batehll: lag <br /> Retrieval Ref.11: 10106001 <br /> 23:02:10 <br /> Y <br /> ILEMEN7 t REPORT I agree to pay above total amount <br /> according to card issuer agreement <br /> (Merchant agreement if credit voucher) <br /> N.mr 109001 <br /> Name: VNTV <br /> hant: 1 <br /> 0 $ 0.00- X <br /> 1 $ l.o.n <br /> 1 $ 110.00 <br /> ement Succebsful Merchant Cony <br /> FOOTER 41 <br /> E.NCRYPIED TRANSACTION <br />