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PARKFORMS, LLC <br />3707 NE COLUMBIA BLVD <br />PORTLAND, OREGON 97211 -2041 <br />(503) 288 -5797 <br />1- 800 - 875 -7529 qj <br />FAX: 503 288 -7908 cel� <br />bill <br />CITY OF EUGENE / PUBLIC WORKS <br />1820 ROOSEVELT BLVD <br />EUGENE, OREGON 97402 <br />541.682.4800, <br />I nvoice Invoice # <br />Page 1 3973 <br />Account # <br />Sold By <br />Reference # <br />Terms <br />Date <br />EUGENE <br />100 <br />- 0265 <br />NET30 <br />8/13/10 <br />Quantity <br />Description <br />Unit <br />Price <br />Disc. <br />% <br />Ext. Price <br />1.00 REPLACEMENT PLAQUE FOR REFERENCE # 71 136.00 136.00 <br />IN LOVING MEMORY <br />OF BOB AND JONNIE LACY <br />1.00 UPS 20.00 20.00 <br />a/ I <br />RICHARD ZUCKER FAX(541)682 -6222 <br />Sale Amount <br />156.00 <br />Sales Tax <br />Freight <br />0.00 <br />Total <br />156.00 <br />