,rll L A VE <br /> STATEMENT <br /> i FOREST PRODUCTS _� <br /> DATE <br /> � u - <br /> ,,� �-'t 09/30/07 <br /> 2111 Prairie Rd. y 6 '1 `1 <br /> Eugene, OR 97402 <br /> Telephone 541- 345 -9085 �` �� Please circle one: <br /> Fax 541- 461 -2427 k4 ( — $ <br /> E -Mail: lane@laneforestproducts.com tii��i <br /> - <br /> P !;; ik � - � Amount of payment <br /> T O C i ty of Eugene Public Wks ` �' ; <br /> 1820 Roosevelt �� Card account number Expiration date <br /> Eugene, OR 97402 f ,,c,ctic t° t() ) Cardholder's signature <br /> A MOUNT DUE ( AMOUNT ENC <br /> Account number: 244 3,086.25 -_ <br /> PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT <br /> We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET 10TH <br /> DATE TYP DOC NUMBER 1 DESCRIPTION I AMOUNT <br /> 09/01/07 B BAL FWD l:alance brought forward 5,552.80 <br /> 09/04/07 I 001- 532202 ARD (S) DEBRIS 304053 7.50 <br /> 09/04/07 I 001-532203-"" ARD (S) DEBRIS 304050 7.50 <br /> 09/05/07 I 001 - 532977 - ARD (S) DEBRIS 304052 7.50 <br /> 09/05/07 I 001 - 532986 ARD (S) DEBRIS 304050 5.00 <br /> 09/C6/07 I 001-533578 ARD (S) DEBRIS 504017 5.00 <br /> 09/06/07 I 001- „:' ?JARRY HOCK 3/8" MINUS 304051 22.00 <br /> 09/06/07 I 00 533745 ARD (S) DEBRIS 304050 7.50 <br /> 09/07/07 I 001- 5 ARD (S) DEBRIS 504017 7.50 <br /> 09/07/07 I 001 - 534225 ------ ARD (S) DEBRIS 504017 7.50 <br /> 09/10/07 I 001 - 536379 I:ARK -O -MULCH YARD(S) 504017 34.00 <br /> 09/10/07 I 001- 536452 - I:ARK -O -MULCH YARD(S) 504017 51.00 <br /> 09/10/07 I 001- 536574 MARK-O -MULCH YARD(S) 504017 25.50 <br /> 09/10/07 I 001 - 536779 °-- ARD (S) DEBRIS ZAK 2.50 <br /> 09/10/07 I 001 - 536888 -/ ARD (S) DEBRIS PARKS 3.75 <br /> 09/10/07 I 001 - 536963 — ARD (S) DEBRIS NONE 2.50 <br /> 09/10/07 I 001 - 536993 ARD (S) DEBRIS 304050 5.00 <br /> 09/10/07 P 440221 364.00- <br /> 09/1 I 001 - 537308 ARD (S) DEBRIS 504036 5.00 <br /> 09/11/07 I 001 - 537361 I OAM YARD(S) 504021 18.00 <br /> 09/11/07 I 001 - 537499 _ ../ ARD (S) DEBRIS 504017 7.50 <br /> 09/11/07 I 001 - 537513 - "IARD (S) DEBRIS 504036 6.25 <br /> 09/11/07 I 001 - 537537 ARD (S) DEBRIS 304050 7.50 <br /> 09/11/07 I 001-537644- ARD (S) DEBRIS 504036 5.00 <br /> 09/12/07 I 001-537929-' ARD (S) DEBRIS 00 3.75 <br /> 09/12/07 I 001 - 538150 ARD (S) DEBRIS 00 3.75 <br /> t.-,' <br /> .-1 <br /> CURRENT . 31 -60 DAYS 61 -90 DAYS OVER 90 DAYS PAST DUE AMOUNT DUE <br /> 0 <br /> a <br /> ` <br /> Charges made in one month are due and payable in full the 10th of the following month. Any unpaid balance will be subject to a FINANCE CHARGE of <br /> 1.5% per month (18% APR). For questions about your bill, call LANE FOREST PRODUCTS accounting department directly at 461 -3017. <br />