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~,~-vvva ~l ~~~(p T EMENT <br /> N E ~ ~ <br /> . L A ~ ~ ~ 1~ <br /> ~ ~ FOREST PRODUCTS a''~~,Z C~ <br /> 12/31/06 <br /> 2111 Prairie Rd. <br /> Eugene, OR 97402 Please circle one: <br /> Telephone 541-345-9085 ~ <br /> Fax 541-461-2427 <br /> E-Mail: lane@laneforestproducts.com Amount of payment <br /> TO <br /> City Of Eugene Pub I i c Wks Card account number Expiration date <br /> 1820 Roosevelt <br /> PO BOX 11110 Cardholder's signature <br /> Eugene, OR 97440 ~ ~ ~ ~ ~ <br /> Account number: 244 <br /> PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT <br /> We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET 10TH <br /> ~ ~ / • ~ • ` • <br /> 12/01/06 B BAL FWD Balance brought forward 4,871.87 <br /> 12/01/06 I 001-309372. YARD (S) DEBRIS 504017 3.75 <br /> 1.2/`~~/t?+6 I 001309.407 'YARD (S) DEBRIS 804051 6..25 <br /> 1.2/`0:4/Q~6 . I 001-31097 YARD `(S> DEBRIS 5Q4017 5.0:0 <br /> 12/05/06 I 001-311197 YARD (S) DEBRIS PARKS 5.00 <br /> ~.Z/05/06 I 00 ~'AR,D (S> DEBRIS PARKS 44`` 3.75 <br /> 81~0?%06 I 01-31 ainbow f'el?bie> 3/8" Rnd OZ ~N 14.00 <br /> 12rtY2/06 I - 14215 YARD (S) DEBRIS 304053 7.50 <br /> 12/13/06 I 001-314580 YARD (S> DEBRIS 504035 7.50 <br /> ~,2/,14/~6 I 001.-314990 YARD (S) DEBRIS. 501Q52 12.50 <br /> 121'14/t~6 :I ° 001-315060 YA1~;D (S) DE$RtS 501052 12.5Q <br /> 1214/06 I 001-315061 YARb (S) DEBRIS 502014 25.00 <br /> 12/14/06 I 001-315092 YARD (S) DEBRIS 501052 12.50 <br /> ~2~'15fQ6 ,~i ~ O.~J1-~315~92 WARD (S) .PE$RIS`~ ~ ~ ~ 504033 7. 50 <br /> ~:12~1.6/U~ ~ I 001 ~~156~:1 YP,'~D ~S) DEBRIS Caw 502014 ~~i. ~d`. <br /> 12/16/06 I 001-315679 ARD (S> DEBRIS 502014 25.00 <br /> 12/16/06 I 001-315764 (S> DEBRIS 5.02014 25.00 <br /> i~%3SI"~6 I X001-21639 , YID {S) ABRIS 30405 ~ 5.0;0 ` _ <br /> ,12/1$i'l~'~ I 1~01~818679 SHARD (S) "T)~~RIS_ X04017 2.5'0 <br /> 12/19/06 I 001-316844 YARD (S) DEBRIS 304052 8.75 <br /> ~~~~~~~0~8 ~ bpi ~ SOxQ~? ~~.50 <br /> ~ ~ i . I~` S~4~35 . :8.75 <br /> i~~7~/08 .I 001-~1'~88~.' ~ (S) I7 RY5 5011)47 ~ .12.50 <br /> 12?19/06 I 001-316904 YARD (S) DEBRIS '~ti`~''y'~""`~ 504028 7.50 <br /> a~1~/bs' I Cl01~~~.6Q~08 ,~P. Rya ~~~R4:035 8.75. <br /> ~.~#95;9 - '~"'A t~+) ~ i' ~l~'iST ".~Q~035 ~ 7. 50 <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°Xo per month (18°k APR). For questions about your bill, call LANE FOREST PRODUCTS accounting department directly at 461-3017. <br /> <br />