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~;~~~~r <br /> <br /> r?v r~~~~r`~~,;;J,~ ,~~E; Date _ _ <br /> . <br /> - ~ ^ Customer P.O. No. <br /> ~ 47 West 5th <br /> Eugene, Oregon 97401 <br /> ~,~,R'J~~~_ rh,~,,.' Phone: (541) 342-3624 <br /> ` Fax: (541) 345-3286 <br /> QUANTITY DESCRIPTION AMOUNT <br /> 3~' " ~ ~ q~~ti3 <br /> ~ ~ <br /> g AN h1 E© ~ ~ <br /> goo ~i~ <br /> 1N T1A1-8~ <br /> J / <br /> ~ ~ <br /> Route Date ~ <br /> Job No. `-k~i~_ ,y <br /> Contr No. ~ ' ~ 3 ~ <br /> Asses able? YES or <br /> I ve this r pa ent. <br /> gnatur Date: <br /> g~ <br /> sus . <br /> .e ,y;~ic":.s <br /> ei~~;° <br /> F~~~r <br /> ~~~45 i v~t. i~j ,~}.fl Jai~7 i'f'+:J~~, <br /> ;'~1r~.~JYji ~ ffJt. vi~G ,~C +~~~III13,K£:t1ZiG"' f"t3i7~~ <br /> n at - ~ Y SHIPPING <br /> ery ~ ~ <br /> g "~tanh ~jou ~r dour business" TOTAL J <br /> <br />