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;-s. <br /> Y <br /> ~ ~ No. <br /> Date <br /> _ . , k,. M ; <br /> - ~ ~ ~ ~ ~ Customer P.0. No. <br /> 47 West 5th <br /> Eugene, Oregon 97401 <br /> Phone: (541) 342-3624 <br /> " " Fax: (541) 345-3286 <br /> QUI~N ~ IT'~ QESCRIP7`ION AMOWNT <br /> ~ i"C i3~„i`t`Ca: #iStJ ~+,i , .r.. : :i.iLi1i : ~.yiia (d5.:. '.fs,y,; . UF,33~C......:i i4il .c:iS ~t ~i`r:.~ 3 s..i'~1i..~' i`t3rt ,,..,.,w <br /> .ti <br /> f r d~~y~,t~ 1-%r~npr <br /> ~ M <br /> ~ ~ Route :Date <br /> k To: <br /> Job No. <br /> i CQntr Na. - _ ~ <br /> Assessable? YES or <br /> I, l approve this far ay ent. <br /> ~ Signature DatB~ y/,~ <br /> FF <br /> S <br /> i <br /> 3 <br /> m <br /> i ~~II <br /> .w ~8 <br /> 3~~~ <br /> r <br /> . <br /> A N <br /> N <br /> t~IT1ALS: n <br /> w~UB <br /> E <br /> - <br /> r. <br /> _ ~ . _ ; _ ~i~~~a, ~ _ SHIPPING <br /> <br /> ~ <br /> I ~j0u fOP dour business" TOTAL <br /> <br />