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RAW <br />EMERALD VALLEY AUTO PARTS INC <br />541 342 - 2626 <br />a350 W. 11th. <br />ff,19 CR. 3f7 <br />34c c'5cT' Si402 <br />6np 19 iMI0 389536 8/14 /1G 12 :i0 <br />...t.. N4°A <br />L "PRIN�IEtTr'CT�uE1L <br />JL"CTICN CITY " FLOFfACE <br />I K71ption Qty Net Tot <br />7 I 7 TH7 OFT - 21.25 21.23 <br />Kaim EK 1 1 31.33 0 <br />Subtotal 10.70 <br />Tax 9X TA17AIE 1 0,C0 <br />41APAO <br />r - EMERALD VALLEY AUTO PARTS f N <br />541 342 - 2626 <br />3350 W. 11 th. <br />EII6EPE CR. 97 <IOc' <br />3t12 i6'cT� 97402 {' <br />Ehip 19 IN✓OICE# 389530 8 9110 11:35 <br />CA)M CA:ii- Ti " rn i cm �rMT r . <br />TOTAL 1 a, 7a <br />V <br />VIJIT NM LO, <br />RECEIPT <br />FOR RETU t ; <br />WARRANTY INFORMATION <br />ON�REQUEST <br /><< CUSTOMER COPY >> <br />µ` EMERALD VALLEY AUTO PAR <, <br />'> 3368 Y 11tH AUE <br />4 fi,— = EUSEHE, OR. 97483 -___ - - - -` <br />TERMINAL I.D.: 9017340068011614413089 <br />MERCHANT R: 8613814413 <br />VISA <br />#"M *45925 <br />i SALE <br />RECORD R: 16 INU: 998816 <br />DATE: AUG 14, IS TIME: 99:18 <br />BATCH: 956 <br />;UTH: 752058 <br />TOTAL $10.70 <br />i <br />iescriptlon QtY t Total <br />7 R Bl-AIE' ✓ '1 j t l 3 21.a <br />7Tv b .. <br />a: <br />i' <br />4 <br />FE I.FT RE UIRED <br />r �R RETU Pis <br />WAP,R'� NTY TNF0 MAT'ION <br />AVAILABLE <br />ON REQUEST <br />---.C('- COPY >> <br />CCv� <br />i <br />04RELL SHAFT <br />ACCORDING 7 PAV A <br />DINGTO CARDISSUER TO TA L <br />1' OERCHAHT AGREEMENT IF CREDIT VOUCHER) <br />t <br />CUSTOMER COPY <br />