CUSTOMER ~ ~ + <br /> P.O. # DELTA SAND & GRAVEL CO. <br /> 999 Division Avenue /Eugene, OR 97404 <br /> JOB ADDRESS ;~i;~;°.. a~y..:l.:i. <br /> 541 / 688-2233 <br /> MATERIAL : _ <br /> ~ ~'=''.~t';3i4--se', UfVtTPRICE I <br /> AMOUNT DUE $ <br /> .TRUCK # <br /> ( <br /> :TONS <br /> WE/GHT <br /> DATE a. =M~ ~r~,_:: t ~ MG ' •f I i <br /> GROSS ~ I ~ <br /> ~l.~a.: TARE ~ <br /> TIME OUT If ; _.F,~s ~r a~'z~:, <br /> 'a%~:; NET <br /> • ~ ~ ~ RECEIVED ~ <br /> BY ~ ~ <br /> ~ <br /> TERMS: DUE AND PAYABLE 10th OF MONTH t { <br /> i % PER MONTH CHARGED ON PAST DUE ACCOUNTS. ' <br /> ANNUAL PERCENTAGE RATE 12% ° <br /> ~ t~~~"~' <br /> ANNUAL PERCE-3t <br /> 'fA~E`~iA`nE izr-- - NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br /> + <br /> ..:_m <br /> ~ <br /> ~r z,#$~7y' '.t'~3 <br /> . <br /> ~ 1 ~j <br /> <br /> ~ CUSTOMER <br /> - ~ <br /> P.O. # DELTA SAND & GRAVEL CO. <br /> 999 Division Avenue /Eugene, OR 97404 <br /> JOB ADDRESS ~'lic'...r'.'~'=~ 541 / 688-2233 <br /> MATERIAL ' is ~..s i. '....°."~~1'=! <br /> UNIT PRICE AMOUNT DUE $ <br /> .TRUCK ~ : ~ <br /> TONS WE/GHT _MG ~ ~ <br /> DATE ` " ~ <br /> r <br /> . GROSS ~ < <br /> TARE ,,,...ddd <br /> TIME OUT s~ U ~ai:'` .r ~~3 <br /> .NET RECEIVED <br /> BY <br /> TERMS: DUE AND PAYABLE 10th OF MONTH f <br /> i % PER MONTH CHARGED'ON PAST DUE ACCOUNTS. _ <br /> ANNUAL PERCENTAGE RATE 12% NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br /> e+ <br /> N o:~. ~ ~ r~ - <br /> _ a I: <br /> P.O. # DELTA SAND & GRAVEL CO. <br /> 999 Division Avenue /Eugene, OR 97404 <br /> JOB ADDRESS ,x:11+I~:I:~-;i;::~:~,~~~• <br /> 541 / 688-2233 <br /> MATERIAL r , .Ii i6t <br /> UNIT PRICE AMOUNT DUE $ <br /> TRUCK # <br /> - <br /> ~a~~w: TONS WEIGHT MG ~ <br /> DATE 1'~~t._ . ~ <br /> GROSS <br /> TARE , 3, <br /> TIME OUT 1~'I=~ il,`.:g. F._:; E, :i. NET '9.~= _ <br /> RECEIVED , <br /> BY <br /> TERMS: DUE AND PAYABLE 10th OF MONTH <br /> 1 % PER MONTH CHARGED ON PAST DUE ACCOUNTS. ~ ~ <br /> arvNuAL PERCENTAGE RATE 12 % NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br /> <br />