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Name ~ ~ <br /> CITY COPY Address <br /> 1288 Wi I lamette Phone Date/Time Due ~4p <br /> Eugene Or. 97401 r <br /> Phone ~ 344-5287 Date Order T~ken_~ Date Delivered <br /> Employee'Names <br /> Fax: 344-9919 <br /> <br /> # rig # Copies Total Qty. )ob Description ~ Q Amount <br /> ~ SGT ~ to ~ct~~P__~ ~ 2 ~ 2 <br /> TERMS: BALANCE DUE UPON RECEIPT OF STATEMENT. PLEASE PAY rROM THIS INVOICE. <br /> CASH RECEIPT TOTAL <br /> <br />