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<br /> -E SAND & GRAVEL, L.L.C. 5 9 ~ T <br /> 90520 Coburg Rd. Phone 541-485-1515 <br /> •Eugene, Oregon 97408-9467 1-800-480-3443 ~ ~ t 4r~ ~.j ~ <br /> FAX 541-485-6532 <br /> DELIVER TO: t-:I c it { i '_,i 1, i ~ j. f.,IC,I r"s~;t .,~r <br /> a °t' E UI <br /> =i4-;f;'f ~ COMMODITY: DATE: ~ <br /> { . <br /> UNIT PRICE: `r+ TIME: - { , r ; <br /> AMOUNT: , P.O. # * . ~ ~ <br /> JOB J <br /> tli r r <br /> t ; , ` t` ' ' a.,~'`'M ~ ~QROSS WEIGHT "I ~''f~ ~ `7 f <br /> ;~,,I ~ ~ Iti <br /> <br /> i ' ~ I , ~ ~ 'F ° N.,.''a ~.,~w STARE WEIGHT <br /> i ~ I 1 i, i t ~ If delivery inside curb is requested, the undersigned will save <br /> EGGE SAND & GFAVEL harmless from liability for any <br /> ~ ~ ~ 4.rp, 4r'y~ p ;~{ET WEIGHT damage caused thereby. Customer agrees to pay all <br /> wrecker or other expenses it delivery is inside of curb line on <br /> private property. <br /> DELIVERY COPY Undersigned agrees to conditions listed on reverse. <br /> RE~:E~IVED BY ~ ~ { <br /> THIS 11E IS DUE AND PAYABLE NET 30. <br /> <br />