~~iVl F[~I~: <br />N~~I: CITY CAF ~C~N~ <br />~~B A~aR~~ LET Q~ T~~RY' NF~AR IN~I~~~}K <br />BILL TD: <br />NAME: SAME AS ABOVE <br />BILLING A~DRE3S: 1820 ROOSEVEt~T BLVD <br />CITY :EUGENE STATE: OR ZiP: 97'402 <br />~TT~9: KRISTI I M ~ <br />PHONE #: 547-6$2-4821 <br />DA~"~ <br />~I~~~~~ <br /> <br />~~~'~CE D~~f~l~~'~0~ <br />~°lo Date fie w~~ ~~ ~~re~ o~ a~oun <br />r ~ days at ~~~ <br />Anil ~ <br />~~g~ ~ i <br />Thank You For Your Patronage <br />IPIVOIC~ #~ 231 <br />START SAT <br />~8f~~ <br />C~I~IP SAT <br />~8~lD <br />(~.. <br />~C 11~L~ <br />r~I3 <br />TTI~L <br />x.99 <br />~,~ ~r~ ~~ 1.5} N r <br />F <br />i~ <br />~~~ ` ~% <br />e~. <br />SIB TOTAL ~,~ <br />,~...r...__.. <br />TOTAL AMT $355.99 <br />~ ~--r~ -r <br />~~4~ f ~~ ..f"'l.+ V <br />