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i;.? . ~ ~ .'"~F~' w+,r ~ ~' "~ r ~ ~;^~ t> 'x d.~. w~ ~.,'~ T 1 rig 'a °r,~ <br />St f <br />y~l~ i~x <br />. ~ ' <br />.. ~J,~y ~, } n ~ rv: n <br />.;,. <br />.:r" ,~~ ,, . , <br />;.3"r )~: ++J,t'C9 ;ry~f( f/~/~~~~.. .:'J" TWA ~(~5 iR1 /~ryy f~ <br />.,,t,,h1. ...C'° f~i.`r.'Jf rlf_~ YC_~ ~^3 ~~{r:l q ~:1 •~ fl f] ~ ll <br /> <br />~~:x ~~~~ <br />BE~VICB' FAR: <br />NAME: CITY ~~ ~UE~IE <br />~#~B ADDEB: ~~4~ BAR ~ ~~ <br />PHONE: <br />BALL TG: <br />NAN~E; ASE AS ABGVE <br />BILLING ADDRE '~8~~ ROOSEVELT BLVD <br />CITY : EUGENE STATE: DR ~~P: ~74~~ <br />~ '~ 1: }':~'~r <br />~t `.~ ilk, i~1. .I: -.T ~ ~~'~~,.'. <br />~ ~ ~ ,'r <br />} <br />'~ ~'l3 <br />~"~l~T DATE <br />~~1~3f~ <br />CQ~P DATE <br />~~f~ 31a9 <br />. ~. ..~~.~. REP: GEORGE <br />r <br />~'!~. ~;~ ~: 9 ~~. ~+~~ ~...a ,?~ Barra [+-'ii <br />~' II V o ~ ~~T~ ~ ~ti~ ~ i~l ~' l'~~ ~~ :;1 ~1!: a ~~ ~ ~! ~ ~ yts ~"::~ eti".~[ <br />~R ~~F~~ ~~ ~~~ ~Y~~~~~~ <br />DATA <br />aEI~VIE DECRIPTIGN <br />Thank You For Your Patronage <br />J ~~ ~ ~hJV <br />V''' ~q17 <br />TOTAL <br />~. ~~ <br />~~-_~, ~t~--, <br />bll-`~(~~I-~1"73 j <br />°~~ ~.~ ~~~ V~~~~ ~ ~~r~d ~~ ~C~~~t ~B TOTAL .~Q <br />a~t~r 0 days ~~t Die <br />