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NQ0&l..)x ~ t •:f <br />CUSTOMER I ~:';y C' J:f''! OF k IC7t=:I~4F ~~I~~,~'... ~ <br />P.O. # f; ~'r) DELTA SAND & GRAVEL-CO. <br />999 Division Avenue / Eugene, OR 97404 <br />JOB ADDRESS 541 / 688-2233 <br />MATERIAL 1'+Ri_1S1 i UNIT PRICE AMOUNT`DUE $ <br />R+ <br />TRUCK # <br />TONS WEIGHT - MG <br />DATE Ill: 1 1. a. / 47k'7 ` + 1t5 GROSS a <br />L>~ sh i. <br />I,r tit i. TARE' <br />TIME OUT ► k+ :x `'a< I. ~a NET r t:: RECEIVED <br />BY <br />TERMS: DUE AND PAYABLE 10th OF MONTH <br />1% PER MONTH CHARGED ON PAST DUE ACCOUNTS. <br />ANNUAL PERCENTAGE RATE 12% DELIVERY COPY NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br />