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PETTY CASH <br />NUMBER ~ DATE ~ ~~ <br />.. <br />~3 <br /> <br /> <br /> <br />C ARGE TO OUNT TOTAL °t' <br />.~ <br />~l <br />~t <br />Received y ~~ ~ Ap" proved By. <br />ss~2 <br /> <br />Supplies : No Yes x -- <br />Please mail payment to: <br />T.D.R. Inc. <br />,~ i{~ vc~ <br />1 Ol l W. sroadway TOTAL: "7(/ <br />Eugene, Or 97402 <br /> <br />DELIVERY Q J~ <br />~ ~j PICK UP'® <br /> <br /> <br />i <br />