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DELTA SAND & GRAVEL CO. <br />999 Division Avenue / Eugene, OR <br />97404 <br />AAA <br />541./ 688 -2233 <br />127 - CITY OF EUGF_I~IF_ /ACCTS. PAY. <br />JOB: <br />2011, 014833 <br />Material Descript: ion <br />tip=:. 1 CONCRETE <br />EMP #Jt IDD GOLDEN <br />NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br />STATEMENT COPY <br />TICKET #00043089 <br />TIME OUT 06/28/11 08e43:00 <br />TRUCK: 501052 <br />Load s <br />Jab /Mats p l Daily 1 <br />C!�_tat01,it;y <br />i. 0Qi <br />UNIT PRICE AMOUNT DUE $ : <br />RECEIVED BY L) �� <br />