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a,--- <br /> INVO~cE rlo. <br /> TOM`S ~~c~~~~ <br /> 4 a~~: T~~ sc~~ 5~ 0 0 21 <br /> <br /> I, 8049 Pi~lE RIDGE PI_ <br /> 8049 PIBdE 1~11.~ ~'E <br /> EUGENE FOR ~~`4'< EUGENE OR 97402 <br /> ~ SOLD TO: / 7 f SHIP TO: <br /> ADDRESS: ~ ADDRESS: <br /> CITY, STATE, ZIP CITY, STATE, ZIP <br /> ' o <br /> , <br /> W O CUSTOMER'S ORDER SOLD BY: F.O B. DYaTE <br /> o ~l _ - _ <br /> QUANTITY DESCRIPTION PRICE AMOUNT <br /> o I <br /> 0 <br /> ® r <br /> 2 ~ <br /> ~ N <br /> n <br /> 3 <br /> C.r~,,~' <br /> _ <br /> 8 w <br /> !~'iE7,,~ jig, <br /> w <br /> , . <br /> x ~ <br /> INVOICE NO. <br /> 0022 <br /> .TOM'S ~~BBSCAP~ IBC. <br /> 8049 PfldE RIDGE PL <br /> EUGENE OR 97402 <br /> L-M,~% SOLD T SHFP TO: <br /> ' ADDRESS. 1 ADDRESS: <br /> CITY, STATEi, ZIP ~ CITY, STATE, ZIP <br /> ~ it <br /> G n <br /> G , . <br /> W o ~ <br /> CUS~ER•S ORDER SOLD BY: F.O B: DAITE <br /> V ® ,j <br /> 0 ~ QUA <br /> ANTITY - DES ~tPTI N PR{CE AMOIyNT <br /> T ~ <br /> ` ° 1 <br /> _ N 2 ~ 4'"'~ a <br /> r ~ I4 f <br /> e~. ~ <br /> '5 <br /> .r ~ <br /> ~ ~ <br /> ~ 'e....7 <br /> ~ <br /> ` ~ <br /> _ : ~ <br /> <br />