EUL30t: , ON yf9U9 <br />1091 : •10 • _ 2858 , . 00601 091 <br />11265 <br />PHARMACY IN 10.99 <br />ACCOUNT 31011902227 <br />TOTAL 10.99 <br />MASTERCARD 10.99 <br />ACCT# XXXXXXXXXXXX5557(S) <br />CHANGE, :00 <br />THANK YOU;'PL'EASE,COME AGAIN <br />BI-MART x %541-6B5-2665X*• BI'-`MART <br />2030 RIUER,'ROAQ <br />:EUGENE, OR 97909 <br />1091 10 <br />2857 <br />00601` 091 <br />11265 <br />RX: 07263145 <br />1NH <br />25.00 <br />RX: 07299988 <br />1NH <br />5.20 <br />RX: 07263168 <br />1NH <br />23.50 <br />TOTAL <br />53.70 <br />MASTERCARD 53.70 <br />ACCT# XXXXXXXXXXXX5557(S) <br />CHANGE 010 <br />. <br />THANK YOU, PLEASE COME AGAIN <br />BI-MART <br />-7:3.34, PM <br />'t~ {'a.dgi..t 1. t;~~ { •w:ti.~ <br />R1ock kuNl1 EUGENE, UR 97904 <br />1093 10 2986 00601 093 <br />15535 <br />PHARMACY <br />IN <br />10.99 <br />ACCOUNT <br />9 <br />DRUGS <br />IN <br />4.49-RET <br />DRUGS <br />IN <br />5.99-RET <br />PHARMACY <br />IN <br />7".`19-RET <br />ACCOUNT <br />9 <br />PHARMACY <br />1N, <br />25.00-RET <br />ACCOUNT <br />9 <br />PHRRMREY <br />IN <br />5:20-RE1 <br />ACCOUNT <br />9 <br />PHARMACY <br />1N' <br />.23.50-RET <br />ACCOUNT <br />9 <br />' <br />PHARMACY <br />1N <br />; 10.M <br />REF <br />ACCOUNT <br />9 <br />PHARMACY" . <br />1N' <br />10.99'VOIO <br />ACCOUNT <br />9 <br />PHARMACY <br />IN <br />10.99-RET <br />ACCOUNT <br />9 <br />TOTAL <br />93.65- <br />PHARMACY <br />IN <br />10.99 ORET <br />ACCOUNT <br />9 <br />TOTAL <br />82'.66- <br />MASTERCARD REFUN 82.66 <br />ACCT# XXXXXXXXXXXX5557(S) <br />REFUND 82.66,;,'1', <br />THANK YqG":P I EASE COME AGAIN <br />DT-MA RT, .X 5 ,1 ` 68 t ? H4~x,. "1?{_-mr <br />m <br />,-r <br />N CQ <br />L 3 <br />lu <br />a i- <br />= m <br />n <br />C <br />Q] <br />O <br />O~ <br />m: z = <br />z <br />M <br />DZ <br />.T] Ln ~I <br />m <br />O <br />T <br />m" x ~ <br />zyo <br />~-i{rm <br />~ <br />U7 <br />O i <br />X <br />W <br />D <br />O <br />M n <br />m <br />X <br />X <br />LT <br />_ <br />O <br />Q~ <br />u <br />i;m <br />~ <br />o <br />D <br />m <br />X <br />-0 <br />N <br />_ <br />m <br />X <br />N <br />T 2 <br />X <br />O~ <br />mm <br />3 <br />X <br />S 2 <br />fV <br /> <br />m'~--~ <br />~ mD <br />~ <br />~ <br />~1 ti Cn -0 <br />~ <br />3 <br />' <br />O • <br />• <br />X32 <br />a7 <br />3 D <br />~ ~ <br />\ <br />:O <br />o <br />