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Invoice# 207963 <br />LANE'ems FOREST PRODUCTS Cust# <br />T rnpany to r w with <br />Tel (541) 345-9()85 '2111 Prairie Rd., Eugene, OR 97402 7 <br />Fax (541) 461-2427 www.laneforest.com Date <br />Phone _(e, 7 <br />~ <br />Deliver to <br />Vk c q r <br />Contact <br />AIM4 <br />wrc~ <br />Deliv tk <br />Bill to Date Zip MCC# Exp Ti e Driver Clerk) E_L /po# ) L p Zb XDLIMPED. ❑ BLOWN <br />Quantitv Description arir a A..,.,-+ <br />i <br />-so <br />eat <br />L <br />S'. <br />L Q 2ol P~ uw A94- <br />Mileage <br />PG r <br />TOTAL ~,,i <br />SEE CUSTOMER ON SITE ❑ CUSTOMER WILL NOT BE ON SITE <br />DUMP IN DRIVE WAY BLOWER CLEAN UP? <br />Left Right Middle Yes No <br />❑ Cash <br />❑ Cheque <br />❑ Credit Card <br />0 On Account <br />❑ Store Credit <br />❑ Gift Card <br />.P &0(61 <br />Thank you! <br />&MA eived and accepte by For material terms and <br />conditions, see reverse side. <br />