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,; <br />~~ ~ ~ ~~ <br />~~~~'~~' <br />'"4 3't ~ ,. i ~' <br />it _ ~°~ <br />_~ _. <~-~. T<<~,_ <br />~a <br />~-s,- _•~; ~~n <br />Date ~: <br />Customer P.O. No. <br />QUANTITY DESCRIPTION AMOUNT <br />~i~/~ ~ <br />t ~ ~ ~l <br />3~~ ~ ~~ a~ <br />S ~ ~ ~~ <br />,~ _-~ <br />~~ ~~~ <br />_ ~ <br />S ~~NED ~' <br />D E' <br />1 N Ti AL8 = _:----- <br />~~~~s ~~~3~~;~ <br />~toute Date. W U <br />~o:_~~s~~~c Ut,~~~A <br />Job No. ~-f~3G~_^_ ,~ <br />Contr iva~L-,vB,-Cx~~ = <br />Assessable? YFS or <br />ve this r pa ment. <br />--~ <br />gnafur Date:-~z. <br />- ------- -----_~.9 <br />~~ g~ <br />SIB _ __ <br />. _ _ ..~ <br />_ _ ..~ _~_ t - ~:rr:' SHIPPING <br />_ _ _ _ <br />"`~Z11anh ~ou for your business" TOTAL <br />47 West 5th <br />Eugene, Oregon 97401 <br />Phone: (541) 342-3624 <br />Fax: (541) 345-3286 <br />