ACIRENO'S T~ACFOR ~~RVIC~~ 1 <br /> <br />i~11~~' F'~: <br />~VAN~~: CI~1C OF ~U~~~ <br />J~~ ADC3F~~ ~ 8~ ~ ~ ~rt~ ~1~~ <br />Bt~L TO: <br />NAME: SAME AS AB4V~ <br />BILLING ADnRESS: 182a R~SSEVELT ~LV~ <br />CITY : EUOEN~ STATE. OR ZiP: 97402 <br />~,~r~u: KRfSTI I~'I lJ lJ I'T <br />PHONE #: X41-6$2-48 1 <br />QA~" <br />~ 2~~l0~ <br />~~~'~~~ ~~~R~PT1~~ <br /> <br />~°l~ date fey ~~~ b~ ~~ar~ed o~ counts <br />afi~er 3~ days ~~~ ~ <br />n gat rsn~l fir ~ <br />Thank You For Your Pa#ronage <br /> <br /> <br />~ v w ~ s <br />START DATE <br />121Q4IQ9 <br />COMP OA7E <br />72104/{19 <br />REP: GEORGE <br />1l~...r%~~- ~ <br />~r~I ~ ~~ v ~.~~~--1 <br />~~ l~Y~.c'.y <br />~~ae :~ <br />T~~`AL <br />$38~a~ <br />~~.0~ <br />TOTAL AMT $38.00 <br />I~~~~~~~ <br />d 1L ~1-c~ ~x'`'°I <br />O(I-Gl~3~-(0(-73 <br />'~~- <br />mow- <br />