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DELTA SAND &GRAVEL CO. <br />999,Division Avenue I Eugene, OR <br />` 97404 <br />541 / 688 -2233 <br />1 — CITY GE EUGENE /ACCTS. PAY. <br />T I CK1 T #000431 <br />TIME OUT 06/28/11 lOvO2:45 <br />TRUCK: 501051 <br />NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br />STATEMENT COPY <br />UNIT PRICE AMOUNT DUE $ : <br />RECEIVED BY <br />.11 0148:x? <br />3.t- Y . <br />- ,'•� <br />a :- <br />- <br />_ _:, $,,; . <br />. '14 iF_.'1' -+ 'I E <br />3• _ <br />NOT RESPONSIBLE FOR DAMAGE WITHIN CURB LINE. <br />STATEMENT COPY <br />UNIT PRICE AMOUNT DUE $ : <br />RECEIVED BY <br />