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~ <br /> i ~ r< <br /> i <br /> i <br /> ' LEFT YARD TRUCK NO. <br /> ~ TiCltt?~ N0: ~ 1 -t DATE: ~ I; I`~I17#~F <br /> I ` i ~ ;;~'„yA{~ CUSTOMER NO. <br /> RET' YARD DR#VF_Fi 14~5t~ O E~J6EPdE, C I T t' f F'WM 1 <br /> JOB NO. f- <br /> i WE5 ~349$~' 43 ° <br /> ~ ~ PHONE: P.O. # <br /> COMPANY QUARRY <br /> ' ~ 02 ~4I-64~-685 ~@~5-0Q~B9~~1 <br /> 02 LOAD NO. } ~ <br /> i F.O. DEI.< C.O.D. CHG. ` ~ OF w w <br /> PLA - TO JOIB > ¢ <br /> w o TONS/DAY MEGAGRAMS REFERENCE <br /> X X °a 3;~„59 3~J.47 C,{p(,.t;~l'1 (,e.S1E.iS5 <br /> ~ ~ PROD. ACTIVITY ENGLISH MEQ <br /> GRAMS/ DESCRIPT#ON <br /> CODE CODE TONS/YARDS METERS ® AMOUNT <br /> i <br /> w , 47 GROSS 18GROSS ~Q?~ 399 17. 1B 15. SS ~?!4-43 7. l I 1~'~', 1a <br /> 1 ' TARE l c. TARE <br /> ~ ' NET 1,9 NET <br /> MEGAGRAMS TONS <br /> ~L~H SAND & <br /> - GRAVEL <br /> ' ~ ASPHALT: <br /> PH E: 485-1700 <br /> ~ P.O. SOX 7428 <br /> EUG~NE, OREGON 97401 HRS. HAUL CHARGE: <br /> C <br /> It delivery inside curb is requested, the undersigned will THIS INVOICE DUE UPON PRE- TOTAL i```'" 1`~ <br /> <br /> I save Wildish harmless from liability for any damage SENTATION. A late charge of <br /> caused thereb . 2% per month will be imposed <br /> y if payment not received by the A cash discount of may be deducted <br /> 10th of the month following if remittance is made on or before <br /> X date of invoice. A lien may be Discount will be allowed only if all previous charges have <br /> DS-11~ ACCEPTED FOR PURCHASER filed for non-payment. been paid in full. <br /> <br />