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Apr-08-09 02:52am -From- T-571 P.002/002 F-448. <br /> j , <br /> I - <br /> • <br /> i <br /> i - <br /> j <br /> ~ ~ g313176$BB3 <br /> . ~ ; CENTRAI. PRWEST&5 H EPRINT <br /> A7 <br /> - ~ ~ ~ ~ El1GENE , OR 97401 <br /> ' ~ ~ ~ 541-3A2-3624 <br /> f <br /> - MERCHANT B1~9 3$71300227AB 001 <br /> ' ~ GATE ~ 04/07/09 02,54 PM <br /> ,GUST REF#: 220324 <br /> ACC01lNT XKXXxXXKxXKX9973 <br /> ~ ~ MASTERCARd <br /> ~ TYPE, <br /> C <br /> ~ RAF ~ 5 <br /> BATCH 006866 RVS; 7 <br /> ~ RUTH <br /> I ~ $ 0C7 _ <br /> SRI-E <br /> I ~ <br /> . ~ <br /> I AGREE TO PRY THE ABOVE TQTAI. AMOUNY <br /> . ACCORpING TQ THE CAAO ISSUER AGREEMENT <br /> tMERCHRNT RGREEMENT IF CREp1T VOUCHER) <br /> ~i . <br /> X - - StGNA1URE <br /> 97A01 <br /> <br /> ~ <br /> TQP GOPY-MEflGHANT BOTTOM-COPY CUSTOMER <br /> <br /> I ~ • <br /> <br />