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~~~..~, <br />f If`+Rl~r Li i-.~K '~tf ~ei'• <br />~~_ ~~- <br />No, ~ . ~, <br />Date ... >GU~; <br />Customer P.O. No. <br />QUANTITY DIL8CRIPTION AMOUNT <br />~. i`(~.`tJ"Ct~' i ilf~t~fi~l~rn{ IrYlll~-(J\i Cr}1~fj~'~. _'• Y ,1f` (]~~1(l ~~YCt" i'1 ~1 pr?:~~ ~.~ ~(1'!;C-r, `_ ~,i~~r rfr tt~~i '" ajYi <br /> <br /> ~ <br /> ~Y <br />~~ <br />~~ <br /> f <br />~~Q Route Date <br /> ~ " <br />1 <br />1C~ <br /> ~~/ <br />, <br />`, n <br />/~ ~J Job No. <br />Contr No. '~~ <br /> <br />~y~~ ~ <br />Q <br />a- Assess le? YES or ~ '"" <br />i th(s for ent. <br />\ ~ <br />n <br />VE J ~ ~~ <br />F1 <br />gnature ate: <br />t ~~ ~ <br />~ <br />~~~ <br />'l <br /> j~ <br />W <br />tl ~ <br />~ \ <br /> ~f <br /> ~P~ A <br /> NE~ <br />N <br /> S G A <br />~.-- - <br /> 1N~Z'iA <br /> ~'~~ <br /> ._ <br /> \,. `. <br /> <br /> <br />-rwn~: ~,F~~; r~r c~zo~si~~ ~~~:~ ~z ^ _ ,,;~,~~,~ SHIPPING <br />R~R~''JCRAPt~ #''S <br /> I~uu~. Yjou for ~DUr business" TOTAL _.u <br />47 West 5th <br />Eugene, Oregon 97401 <br />Phone: (541) 342-3624 <br />Fax: (541) 345-3286 <br />