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~ <br /> ~ ~ (Vo. <br /> • <br /> . <br /> 47 West 5th Customer P.®. iVo. <br /> - Eugene, Oregon 97401 <br /> Phone: (541) 342-3624 <br /> Fax: (541) 345-3286 <br /> <br /> QUANTITY DESCRIPTION AMOUNT <br /> _ . <br /> ( . ' J~'S rr t ,t ,-'^5~'~ i ~ ~ t ~ 'Pi':C~~?,=' ~E7!"fC, .5 ~k,~ 4` =;~~T .mot„' (3 v. ~li a <br /> (.,t ~.€f. 'r fr c,~ ~ _"`l~~ 7t~~l;:,k?~, L"C}~It v'C~~ - .tur(„;~ <br /> ~ <br /> R~~ <br /> route date <br /> To: ~E~--1 <br /> Job ~lo..~ 3~_3~.. , ;Y , <br /> Contr iUo. <br /> C <br /> Assessable? 1°FS or ~ <br /> i approve this~jpa~rne t. 1~f.= <br /> ~ ~ > <br /> 1~---~ <br /> ?_hf ofd <br /> Signature Dete: ~ ~ ~ <br /> <y~ l <br /> ~ I~ <br /> goo cz <br /> ~o c ~ <br /> - <br /> ~W.1 wl <br /> ~frt~`V"~~i~, v~! ,t_. ,~JCI rEi v ~ t`.~,.^_ SUB <br /> r,€~ <br /> ,r . <br /> ~t-.;: . 'i., X14.... 1 <br /> ~c ~ ~ ~ i~.f r M SHIPPING <br /> %r~... <br /> "`Z1~ank Yjou for ~OUr busineSS~~ TOTAL <br /> <br />