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~7~94 EUGENE <br /> EUGENE ~ <br /> ~Y <br /> FASTENER <br /> and 6~1PPLY COMPIANY <br /> 1 2-5975 <br /> 541 342-5978 595 ILSON STREET <br /> 595 ILSON STREET U E RE N 7 <br /> EUG N OR <br /> <br /> 1-800-929-5978 FAX 541-342-1385 y -800-929-5978 FAX 541-342-1385 <br /> NAME <br /> NAME <br /> ADDRESS <br /> ADDRESS <br /> SHIP TO <br /> SHIP TO <br /> ADDRESS <br /> ADDRESS <br /> ORDER NO. TERMS p ~ ORDER NO. TERMS D <br /> WHEN SHIP SALES ~ BUYER HOW SHIP WHEN SHIP SALE N BUYER HOW SHIP <br /> C/ <br /> f <br /> ~ - ~ <br /> ~ ~p p D <br /> ~ ; . <br /> , ~ ~a ; ,2 . , <br /> ~ <br /> All Returns Require Sales Receipt and are Subject to Approval. Alt Returns Require Sales Receipt and are Subject to Approval. <br /> <br />