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~; <br />r;t <br />.f~ <br />.r" ~~'~ <br />~~ ~~~ ~ ~;~~ I'~ ~~~~ X79 <br />:k ~ .~x!. <br />3'e~.. - y~qp, <br />~ 7 ~ ~ / <br />~+ a{u Si¢ <br />.::. -.-- <br />~E~11iE' ~~R: <br />NAME; QTY CAF EUGENE <br />JAB ~pDREa: LET O~V LD~ANE H~1~Y E ~A <br />PHONE: <br />-.._ <br />~~L~, T~: <br />NAME: AIDE ~ A~C~11E <br />BILL~I~ ADDRE ~8~~ ~~EVE~.T E~VD <br />CITY ^ EUGENE sTATE~ ~R SIP. 97~M~ <br />PHONE #: 4~-$-~8~ <br />SATE <br />sE'~~E DES~PTI~~I <br />~°lo ~ Lt~ fee ~ri~l ba har~ad ~n c~u~ts <br />after ~ days Past ~e <br />~~1 t <br />Thank You For Your Patronage <br /> <br />~ 3.5~ <br />~.~o <br />TOTAL AMT 513.50 ~ <br />~'I ~`~ I2LL'~j <br />ok -tz3 (zc~t <br />635-ri1o31- Iol1~j <br />~~~ <br />'~ <br />16JV~iC~ #1196 <br />CEP; ESE <br />TOTAL <br />