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~~~~~~~*7 ~R. <br />E1~~~: ~ ~ i ~ ~~~I~fG <br />BILL TD: <br />NAME: SAME AS ABOVE <br />BILLING A~ORESS: 4820 ROOSEVELT BLVD <br />CfTY :EUGENE STATE: OR ZIP: 97402 <br />A7T~: KRISTI ~ ~ ~ <br />PHONE #: 541-582-4821 <br />~A~~ <br />81~T1~9 <br />~~f ~~ C~~~~PT~~N <br />1I~0~ ~009~~~ <br />~°lo Late. ~e~ i~~ ~~ char~~d on a~oun <br />affix 0 ~~ys ~a~t ~u~ <br />an n rid fir as <br />vt~~,n,~ ~ has i <br />Thank You For Your Patronage <br />IP10101CE #1228 <br />REP ~~~ <br />~~d <br />~h~~l ~~~ <br />~'~'A~. <br />~55~7a <br />C~ ~ ~ ~- C~~ t I~ ~"~~ <br />~~... <br />SUB TOTAL $155.75 <br />TOTAL AMT $155.75 <br />~} ~,. its ~~z~.~ <br />C.`~~~~`'C. <br />,~ <br />'..,._~.''F.'. <br />