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1159 Enstad Lane <br />Silverton, OR 97381 <br />(583) 769-2302 (503} 874-1015 <br /> <br />CUSTOMER'S ORDER NO. DATE <br />NAME <br />~, STATE, ZIP <br /> <br />QUAN, DESCRI~ION PRICE I AMOUNT <br />RECEIVED BY <br /> <br />DC4705 <br /> <br />KEEP THIS SLIP FOR REFERENCE <br /> <br /> <br />