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k~ , <br /> i. ~ ~ ~ ~ ~ _ , - W Date <br /> ~~"-~',.i=~ l'" yf:~.~,~' CustomerP.O.No. <br /> 47 West 5th <br /> - Y Eugene, Oregon 97401 <br /> Phone: (541) 342-3624 <br /> u..«, ~ ,w <br /> Fax: (541) 345-3286 <br /> <br /> i ~tU I D~SCRIP'fl01~ AMOUNT <br /> <br /> i ~ ii . _ <br /> :~~a: rs -...~~::~s~~ . c. ,,.'.:ut ; ^ s~ f-';.~ . far ~ ~iri- Hats <br /> ...:.13..i .inc. ~csi .~a. ~.r 6 r }~d~ 4 i.:ia ~ir~i3 J.c~U <br /> i- <br /> <br /> i <br /> c4Alv~?,~Dr~ 3 co <br /> o~ <br /> ~ E~ <br /> w ~ <br /> . z ~ <br /> _ _ _~a <br /> _ . <br /> woute Date <br /> ~ To: <br /> Job No. <br /> 1 Contr No. <br /> Assessable? YES or <br /> 1 approv r payment. <br /> I~ { - <br /> ~ gnat Date: <br /> I <br /> V <br /> r~~ <br /> I <br /> ~ ~ 4~ b ~1 ~ Inier <br /> ..i I.5 i ,c-~. <br /> '(eker~ V ~l~t <br /> ~ u« ~ ~n r~ t~ h~,th <br /> ~c t ~ xc~r rvos+alV t~;~rv T~~L : ~ SHIPPING <br /> ~ C <br /> I ~ ~j0u for ~UUr business# TOTAL <br /> <br />