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C <br />t <br />S <br />l ( <br />C <br />oyo <br />e <br />tee <br />o, <br />5 <br />2030 C <br />oss S <br />E <br />O <br />law <br />r <br />trcct <br />ugene. <br />rcgon 97402 <br />Ph: 541-461-2060 or 1-800-553-0240 Fax: 541-461-0299 <br /> <br />SOLI) Ul <br />111 1.11) R~ ~~»rlC-. <br />- 'I)1.[ [vERVIA DBE DAT)~7_;2 v <br />Q-1) <br />_ <br />f>ESCRIPT`ION <br />EACH <br />i'Ul'AL <br />111'? I <br />I <br />l V~'~ )I~'L ( I S D )MER ORDI :R <br />418 <br />C ICECK# CHARGE TOTAL <br />