''�TATEMENT <br /> L A INTE <br /> 1 '� . DATE <br /> FOREST P RODUCT S l L <br /> F <br /> 2111 Prairie Rd. <br /> Qm 07/31/07 <br /> Eugene, OR 97402 Please circle one: <br /> Telephone 541- 345 -9085 $ IN Fax 541- 461 -2427 11 Ms <br /> E -Mail: lane @laneforestproducts.com - ( � � VF n - � Amount of payment <br /> TO, <br /> City of Eugene Public Wks Card account number Expiration date <br /> 1820 Roosevelt <br /> PO Box 11110 Cardholder's signature <br /> Eugene, OR 97440 AMOUNT DUE I AMOUNT�ENC <br /> Account number: 244 11111111111 r5 <br /> LEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT <br /> We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET 10TH <br /> DATE I TYP DOC NUMBER DESCRIPTION AMOUNT <br /> 07/01/07 B BAL FWD :alance brought forward 1,800.50 <br /> 07/02/07 I 001 - 476416 YARD (S) DEBRIS 305030 3.75 <br /> 07/02/07 P 437360 1,231.75- <br /> 07/03/07 I 001 - 476965 YARD (S) DEBRIS 504035 6.25 <br /> 07/03/07 I 001- 477273 YARD (S) DEBRIS 515001 15.00 <br /> 07/03/07 I 001 - 477583 YARD (S) DEBRIS 515001 15.00 <br /> 07/06/07 I 001 - 478895 YARD (S) DEBRIS 504035 \ 7.50 <br /> 07/06/07 I 001- 478967 YARD (S) DEBRIS 405028 5.00 <br /> 07/06/07 I 001 - 479013 ARD (S) DEBRIS 504035 2.50 <br /> 07/06/07 I . 001- 479120 YARD (S) DEBRIS 504028 3.75 <br /> "07/06/07 I 001- 479327 YARD (S) DEBRIS 504028 3.75 <br /> 07/06/07 I 001 - 479788 ARD (S) DEBRIS 305030 5.00 <br /> 07/09/07 I 001 - 482360 YARD (S) DEBRIS 304053 5.00 <br /> 07/09/07 I 001 - 482371 YARD (S) DEBRIS 515001 12.50 <br /> 07/09/07 I 001 - 482614 YARD (S) DEBRIS 515001 15.00 <br /> 07/09/07 I 001- 482700 YARD (S) DEBRIS 515001 7.50 <br /> 07/09/07 I 001 - 482860 YARD (S) DEBRIS 515001 15.00 <br /> 07/09/07 I 001- 482982 YARD (S) DEBRIS 515001 17.50 <br /> 07/09/07 I .001-483155 YARD (S) DEBRIS 305030 5.00 <br /> 07/09/07 I 001- 483161 ARD (S) DEBRIS 304052 3.75 <br /> 07/10/07 I 001 - 483735 ARD (S) DEBRIS 504035 2.50 <br /> 07/10/07 I 001 - 483800 YARD (S) DEBRIS 504035 7.50 <br /> 07/10/07 I 00 `:.-. YARD (S) DEBRIS 504017 3.75 <br /> 07/11/07 I 00 -484457 i YARD (S) DEBRIS 304047 5.00 <br /> 07/11/07 I 001 - YARD '(S) DEBRIS 504035 6.25 <br /> 07/11/07 I . 001 - 484737 YARD (S) DEBRIS 69 5.00 <br /> 04/6 (6,3-N <br /> *10000 6# <br /> 63k- 61335_ geo-cl'153a-3lls bK ur- <br /> CURRENT i 31 -60 DAYS 61 -90 DAYS OVER 90 DAYS PAST DUE AMOUNT DUE <br /> co <br /> 0 <br /> - <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 />