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P.O.# <br />SIZE PER TOTAL <br />J -J <br /> <br />n <br />(z)ZetM 5 0 <br />S-3 5 <br />1~1~ <br />j. <br />Form a 6 SP•18 t) <br />\ <br />State of Oregon <br />DEPARTMENT OF AGRICULTURE <br />+i <br />Plant OMsion <br />45 CaPkol St. NE, Salem, OR 97310-0110 <br />5hip~tirtg Permit No: 000128 <br />INS is oce Pfiur6ery -u8rM6 Linder the Move <br />permit number has been reg luiitty inns~ected and to ft a best of our <br />_ knowledge is free rrft-d&VatpjA pesfis <br />l" ` and diseases. <br />B. D. RIGHT <br />ADMINISTRATOR <br />PLANT DIVISION <br />. .a <br />. INVOICE NO: <br />DATE rw. 54793 <br />BLOOMER'S NURSERY, INC. TERMS: CHARGE' CASH CHECK <br />89813 Sprague Road • Eugene, Oregon 97408 0 <br />(541) 343-8796 FAX (541) 345-9021 All accounts due 10th of month following purchase. <br />Service charge on past due amounts will be <br />.`HELD©" LS ~charged at the rate of I%% per month, which is an <br />,bvpFrC© K~ ANNUAL PERCENTAGE RATE OF 18% plus <br />collection fee including attorney's fee's and court <br />costs. 20% restocking charge on all returned <br />merchandise, no merchandise returned after 30 <br />days. <br />BUYER'S SIGNATURE: .L , i may. l ~r G` r~i TOTAL <br />MATERIAL HAS BEEN REV IDE N GOOD CONDITION <br />CITY STATE ZIP? 1 <br />QUANTITY ITEM / 7P / orv ~Q l~~! Z <br />