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PAGE NO. INVOICE NO. A °PLY TO INVOICE DATE COST. NO. <br />ST01 067564 1 97767 9/12/2011 EUG13 <br />FORREST PAINT CO. <br />1011 McKutley Street POST OFFICE BOX 22110 <br />EUGENE, OREGON 97402 USA <br />(541) 342 -1821 • Facsimile (541) 344 -5137 <br />INVOICE <br />— .forrestpaint.cum <br />1741 South Central Avenue <br />Pronf of Ram I <br />KENT, WASHINGTON 98032 USA <br />(253) 854 -6372 • Facsimile (253) 854 -8979 <br />Spokane Industrial Park <br />North 3808 SuRrvan Road Building N -17 <br />SPOKANE, WASHINGTON 99216 USA <br />(509) 924 -3785 • Facsimile (509) 924 -0716 <br />CITY OF EUGENE <br />CITY OF EUGENE <br />P.O. BOX 11110 <br />P.O. BOX 11110 <br />S <br />S <br />O <br />H <br />� EUGENE OR 97440 <br />P <br />EUGENE <br />Phone: 5416825038 <br />T <br />OR 97440 <br />T <br />O <br />O <br />DATE SHIPPED PURCHASE ORDER NO. SHIP VIA F.O.B. T" 10 NET 30 <br />BUYER DATE BEATl eD 1 LOCATION SALESPERS" R TERRITORY <br />ITEM NO, DESCRIPTION QUANTITY QUANTITY QUAD UNIT PRICE EXTENSION T <br />ORDERED BACK ORD. Sua."D A <br />x <br />17J9005P 6056 LIGHT GRAY - PREMIUM EXTERIOR FLAT 5.00 31.56 157.80 <br />SALE DISCOUNT: LESS 100.00% -1.00 -157.80 <br />Subtotal 0.00 <br />T . <br />Total 0.00 <br />PavmentTvpe Check or Credit Card Amount Exp Date AuthCode <br />Customer Signature for Receipt or Credit Card <br />Forrest Paint's liability relating to goods (for breach of warranty, strict liability,negligence or otherwise) is limited <br />exclusively to replacement of the goods or refund of their price. Forrest Paint is not liable for incidental or <br />consequential damages. Forrest Paint MAKES NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR <br />A PARTICULAR PURPOSE. Forrest Paint will not pay any amount beyond the purchase price of the paint. No <br />other express wairanties may be created unless they are in writing. I agree to repayment in accordance with <br />FOR REST PAINT terms of 1% 10 days, Net 30, and to a service charge of 1 1/2% per month on deliquent <br />accounts. In the event of legal action, I agree to reimburse FORREST PAINT for oasts of collection, hcluding <br />reasonable attorney fees and court costs. <br />I V I c> f y 1 `, l U! d v V/r \4 VY , <br />SUBTOTAL <br />x563,` <br />ig .z <br />�i <br />PL ASE REMIT <br />THIS AMOUNT <br />PFW100LZ (11/08) <br />