c' <br /> LANE Invoice 191493 <br /> 1 FOREST PRODUCTS Cust# 2LJLi <br /> ' "The company to grow with" (� t �� / <br /> Ph 541 345 9085 Mailing Address: 2111 Prairie Rd, Eugene, OR 97402 Date / I <br /> Fax 541 461 2427 Visit us on the web at www.laneforest.com <br /> Phone <br /> Deliver to W (14.,.OW C oir1 -41 -- I/ <br /> 1 ! I /- )F,04.---/LeSpN) Contact al <br /> 4 asy -722g <br /> Deliv <br /> Bill to C (`(� Or Cv —— Date m <br /> r k.V3L. -1 C.- ('LS Zip M W • F S <br /> CC# ExP / Time ti y� <br /> Driver/ Clerk N " po# 2-8 2 f ❑ DUMPED ❑ BLOWN <br /> Quantity Description Price Amount <br /> (a 14/2. C ool Po ST <br /> /Ad 010 1 4 15 1 51 <br /> 9_0(-)5&- 9 or) jytt-tYl.,c) <br /> x 1 ! 7"14 1 (1/4 w11-A -LI ►acW - 1L <br /> f M ileage <br /> 0- 0 IQ '- i / Z w TOTAL <br /> y I <br /> tpM.) fi t . .► >2 i <br /> ❑ Cash <br /> ❑ Cheque <br /> ❑ Credit Card <br /> o El On Account <br /> ❑ SEE CUSTOMER ON SITE `CUSTOMER WILL NOT BE ON SITE ❑ Store Credit <br /> DUMP IN DRIVE WAY ' • WER CLEAN UP? ❑Gift Card <br /> Left Right Middle do No El 1 II p es. ,. & 3 L Ai A. 1 ` %alt • 4 <br /> ur t N '1121` L�I12�y- NAi 6c 13‘i f ID <br /> .f-V. cc' r4 °� - Th(2- (1614- <br /> Thank you! <br /> , iitc l r_...„A- Received and accepted by For material terms and <br /> conditions, see reverse side. <br /> i <br />