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r <br /> S CA N E D-PWA <br /> DATE'_ <br /> INITIALS: <br /> . . _ Date <br /> 47 West 5th Customer P.O. No. <br /> - . _ - - Eugene, Oregon 9740f <br /> Phone: (541] 342-3624 <br /> Fax: (541) 345-3286 <br /> ~UA !TY DESCRIPTION AMOUNT <br /> r Route Date <br /> To: <br /> Job 1Vn. <br /> <br /> r ' Conti No. <br /> Assessat?I~? YES ter <br /> !approve this for payment. <br /> I <br /> I Signature Date: <br /> i <br /> I <br /> I <br /> 3~(~'~~ <br /> ~~Q <br /> ! , <br /> ~ ~ <br /> ~ ~ <br /> i <br /> ~ <br /> ~c~~ <br /> ~ <br /> ~ <br /> r <br /> I <br /> k ~ ~ <br /> k <br /> j <br /> i <br /> SUB <br /> f ~ <br /> * ~ f _ a p .T. L;. ~i <br /> A 1 <br /> re ~ 5 <br /> <br /> F I=~~ J t'iC. <br /> f ; ~ „ _ '-s SHIPPING <br /> ~ <br /> ~ - v <br /> I'~,uznh Yjvu f <br /> or dour business" TOTAL, <br /> <br />