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i. <br />lings Bar I Grille <br />28801 Douglas Dr Suite 010 <br />Eugene, OR 97402 <br />STEELHEAD <br />BREWERY 13 SARA C <br />EOGEK, OREGON <br />THANK YOU FOR Chk 3943 207 Gst 0 <br />DINING WITH US ! Novl8'09 01:09PM <br /> <br />17 IMSA 2 ICED TEA a 2.25 4.5D <br />1 COBB SALAD 11.95 <br />Thl 24/1 - Chk "°31 Gsi 1 I 1 BOWL CHOWDER 4.95 <br />Ded : <br />02:44PM Total Due 2 1 .40 <br /> <br />1 CORTEA <br />1 •'F <br />1 PEPSI <br />1.95 <br />1 SOX + SAND <br />7.95 <br />i sow + SALAD <br />5.95 <br />TOTAL DUE 18-60 <br />t J~ <br />i <br />II <br />S TEE=LHEAYl <br />f-~FCIE:WER'Y <br />EUGENE,'OREG M <br />THANK YOU FOR <br />PINING WITH US! <br />r; e: . 'De_IO'O9 01:07FM <br />:,!d TyFaa MASTER CARD;' <br />?.A , p • XXX:CXXXXXXXX8582 <br />abler''- 24/17; <br />Server: 17 ROSA: <br />STEELHEAD,BAC ERY <br />TNANVtS FOR DIItINf '1ITFLU5 <br />1 <br />Tr <br />ue, i,N 914U2 <br />Gate: <br />Nov1B'09 02:44PM <br />Card Type: <br />Master Card <br />Acct u: <br />XXXXXXXXXXXXB582 <br />Card Entry: <br />SWIPED <br />Trans Type: <br />PURCHASE <br />Auth Code: <br />030656 <br />Check: <br />3943 <br />Check ID'. <br />207 <br />Server: <br />13 SARA C <br />Subtotal: 2 1 . 4 0 <br />Gratuity:_ <br />ZS `10 <br />Total Charge Amt:_ <br />Signature of Cardholder <br />1 agree to pay above total <br />according to my card issuer <br />agreement. <br />* * * * Customer Copy <br />U! XI.) <br />