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H.D. <br />FOWLER <br />COMPANY <br />PO Box 160, Bellevue, WA 98009 -0160 <br />Packing Slip 2946068 <br />13440 SE 30th St., Bellevue, WA 98005 <br />PO Box 160, Bellevue, WA 98009 -0160 Page 1 <br />Phone 425 - 746 -8400 • Fax 425 - 641 -8885 <br />Eugene Branch <br />4670 Cloudburst Way <br />Eugene, OR 97402 <br />541 - 607 -0081 Fax 541 - 607 -9847 <br />TO: CITY OF EUGENE / WWTP <br />Ship to: HD Fowler Company - Eugene <br />Accounts Payable <br />4670 Cloudburst Way <br />PO Box 11110 <br />Eugene OR 97402 <br />Eugene OR 97440 -3310 <br />(541) 682 -8643 <br />Order #: <br />Inv Date: <br />Order Writer: <br />Terms:NET 10TH PROX <br />03661522 <br />07/06/11 <br />AARON HAYMAN <br />FOB: H. D. FOWLER <br />Ship Via: <br />PO/Job:2012000337 <br />WILL CALL <br />Line Qty Qty UoM Part # Unit Extended T <br />Ship'd BO'd Description Price Price x <br />3 <br />1 1 EA FEFPP12X48S 720.000 <br />720.00 <br />12" X 48 PIPEPATCH KIT - <br />SUMMER <br />5TMw1 LA a E <br />5 3-5 <br />SIGNATURE: Sub -Total <br />720.00 <br />Freight <br />PRINTED NAME: Tax <br />Grand Total <br />720.00 <br />Serving the Pacific Northwest since 1911 <br />www.hdfowler.com <br />