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08/27/2009 15 57 FA% 541 726 4130 <br />I <br />hxu W..d~Rn ~~-n~^ <br />n'ar Of Lane Co ~ 001 <br />Receipt <br />Date 123Transaction # <br />~ 08/27/2009 2471224 <br />United Way of Lane County <br />317' Gateway Loop <br />Springfield, OR 97477 <br />541~~T41-6000 <br />Payment Information <br />Kur <br />Event Na <br />Event Dai <br />Corey <br />2009 Commundy Leaders Breakast <br />09/10/2009 <br />Total Payment : US$ 70 <br />Payment Method :Credit Card <br />Name on Card :Kurt Corey <br />Credit Card Type :Master Card <br />Credit Card Number • XXXX-XXXX-XXXX-8582 <br />ount ! <br />cv~a a..vnunW mr ~oouma ul vonaa~ tGUltl lul o - rICGSC ' <br />add guest names or fax hst to United Way at 541-726- <br />4150 ~ <br />~ ; I Total ~ US$ 70.d~ <br />., <br />Post-tt`IFax Note 7671 oa~a <br />IFhone ~ I Phone # ~ ~ I ^ /_ fvM <br />Fex# /~J~7^~Q7~n Fex# 7Z(~-/yISQ <br />b~~10 <br />~~c <br />~~~ ~ <br />7Wjv m~t#hy 1298ipnur <br />