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ERV~E' ~~R. <br />~fA~l~: ~~TY ~F EUGENE <br />J~~ ADDRESS: '~ fi~ VIA 2~ PL.~4E <br />INVOICE #1273 <br />T~#T DATE <br />D~N~P DATA <br />{ <br />NAME: SAME AS ABOVE <br />BILLING ADDRESS: 1820 ROOSEVELT BLVD <br />CITY :EUGENE STATE: OR ZIP: 97402 <br />P.~~6: KRlSTI <br />PHQNE #: 541-682~8Z7 <br />~~4TE <br />F~~IIDE DES~PT~ON <br />~i2~l~~ VI~~## ~~~Q~~ <br />~°lo Lade fee ~~i be har~~ ~~ a~~vun <br />after ~ ~a fat Due <br />er~~q~~ er has ~e <br />Thank You For Your Patronage <br />REP: GEORGE <br />~ ~`~~~ ~- <br />~~~o-~c~c:~~ <br />~~~ ~ <br />-~~ <br />TDT~-L <br />I <br />~~~~~~ <br />i <br />f <br />i <br />4 <br />4 <br />'r <br />i <br />r <br />~TOTA~. ~~~.~ <br />TOTAL AMT $121,50 <br />~'~.~ 1~ <br />Q~~-~(~sat-~`7~c7 <br />