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0 invoice # 191219 <br /> J LALNE F ORE ST PRODUCTS Cust# Zci(i <br /> ;The company to grow with" 4 - Z /� I <br /> Ph 541 345 9085 Mailing Address: 2111 Prairie Rd, Eugene, OR 97402 Date 1 —O r ") <br /> Fax 541 461 2427 Visit us the web at www.laneforest.com <br /> � t� / oj Phone <br /> D e li ver t i � -\'‘ � �1 S�C�/1 ✓ R` <br /> � -] zZ� <br /> Contact I XXl ©IkQ--1(, <br /> B Deliv NM® <br /> Bill to <br /> Date <br /> L <br /> 3 Zip 401 M T W R S <br /> CC# Exp / Timel l <br /> DriverW4erk 0 ❑ DUMPED giLOWN <br /> Quantity Description Price Amount <br /> 6,,,.) 0,,,,-(e_,,, cov„\c,o,,74— , <br /> r3, P r24 !C(` co./ <br /> r trc4 2.a2i cm2.zq <br /> c <br /> 6 g &iv DttwtA, x tiro <br /> NT Zi � 't �.-w 12-���L <br /> ,� Mileage <br /> V C�� I / � 1 ON TOTAL <br /> t (2_ t j oy r-, . <br /> C ❑ Cash <br /> 3 ��1(Z -3i1∎.) ❑ Cheque <br /> i Card , <br /> Dl, &$ D M €74 ON/ 6 O ❑ on A c Cunt <br /> �( � �?�Un Account <br /> ❑ SEE CUSTOMER ON SITESTOMER WILL NOT BE ON SITE ❑ Store Credit <br /> I DUMP IN DRIVE WAY BOWER CLEAN UP? ❑Gift Card <br /> Left Right Middle Ye No 111 <br /> Ili I ` nr-i wrt.r_ D 12-1 ' i•- i N <br /> rt err- On t n6c OP C*1 E, RtmosI , <br /> i 1 l <br /> f <br /> -. Thk ! <br /> i °ma r an y ou Received and accepted b For material terms and <br /> conditions, see reverse side. P <br /> # 1 <br />