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ERVi~E'~ ~~• <br />NAME: CITY' ~ Eu~NE <br />,~~8 A~~RE~ ~4~5 LENDRE DR <br />BALL T~: ~-- _-- _ ,.~.. _---- <br />NAME: SASE A ABOVE <br />B~LL~NC A~DR,Ew ~8~ RO~EVELT BL~fD <br />I~`Y ^ EUGENE TATE~ ~~ <br />~~~ R ~~~~ <br />~ATI"N: KRISTt ~ I ~ <br />PHONE #: v41-682-4821 <br />DATE <br />99109 <br />V~C~# ZD09048 <br />ERV~~E DESRI~T~~N <br />~~1~ ~~~ f~ ~ril~ be i~a~ged ~n a~~~o~~ <br />~f~~r ~ ~y fat ~~~ <br />rn i fir <br />r~~~~ I <br />Thank You For Your Pafironage <br />sue TT~L <br />CEP: EDRCE <br />~. <br />~ ~~ ~ ~ <br />1 ~~ <br />r-~' <br />~ ~ ~ <br />TUTAL <br />85.0 <br />$85,9 <br />TOTAL AMT $85.50 <br />~~~ ~~~ <br />~~~ <br />c~ ~~ -e-~i~~~ -- c~ ~-~ ~~~ <br />