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- :c~s_ <br />~ernrr. 1U`: iti;S000 Cl PROC[Riffi4SNT CARD PURCFNBB DETAIL Paqe No. 1 <br />-~ _ _~~=. a5c18 <br />-__-___ <br />~ .L '_1 e63 <br />~ <br />Name: Diller. ~~.>>e ~.~ <br />Addreae: 101 S BROADWAY Si7I TR 40 <br /> BNGSNS OR.9740a-^.^z'i <br />Account: xxxxx~c<xxsxxa7 sr <br />81111ng Date: 04/16/2010 <br />Trans <br />Date TraneactSon Number <br />03/30/2010 213601 <br />04/10/2010 194030 <br />04/14/2010 238964 <br />Merchant Reference <br />25536060090109000857826 <br />55429500101849038980425 <br />554173401051210527139BB <br />Merchant Name <br />MARCHE - SUG?~ . C'• <br />BOXWOOD TECH - 8884918833 M.D <br />ONFGA - SC3-9~1 Lil u.. <br />Statamant Totel, <br />DATE 3/30/10 TIME 11:49AM <br />MIO 000802318535 542929802318535 <br />Cafe Marche <br />296 E. 5th Avenue <br />Eugene, OR <br />97401 <br />541-342-3612 <br />M AST C H XXXXXXXXXXXXXXX9154 S <br />pUTH 080917 CHECK 661735 <br />PRE-AUTH Provisions PROV 3 <br />LYK ID#: 00432230 <br />AMOUNT 120,00 <br />-------- <br />SUBTOTAL $ 120.00 <br />TIP $......... <br />TOT A L $ .................. <br />-- nd of RE <br />CUSTOMER COPY <br />I <br />****************~******~*~~***~x**~~**** <br />CHECK # 661735 DATE 3J30/10 <br />TIME 11:49AM <br />-- Provisions PROV 3 -- <br />ITEMS ORDERED AMOUNT <br />12 BOX LUNCH 120,00 <br />SUBTOTAL 120.00 <br />---------------------------------- <br />TOTAL DUE 120.00 <br /># OF GUESTS 0 <br />Thank You! <br />Amount <br />~BS.C" <br />380.D0 <br />