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STATEMENT <br /> LANE I~ - <br /> ~ i FOREST PRODUCTS <br /> 12 / 31 /06 <br /> 2111 Prairie Rd. <br /> Eugene, OR 97402 Please Circle One: <br /> Telephone 541-345-9085 ® ® g <br /> Fax 541-461-2427 Amount of payment <br /> <br /> ' E-Mail: lane@ laneforestproducts.com <br /> TO <br /> City o f Eugene Pub 1 i e WkS Card account number Expiration date <br /> 1820 Roosevelt <br /> PO BOX 11110 Cardholder's signature <br /> Eugene, OR 97440 ~ I ~ <br /> Account number: 2.44 <br /> PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT <br /> We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET 10TH <br /> I I. I ~ , ~ <br /> 12/19/0 I 001-316985 YARD (S) DEBRIS 504028 6.25 <br /> 12/20/06 I 001-317583 ARD (S> DEBRIS r~~ V 504017 7.50 <br /> 1220/,06 T ..:.001-31761.5 ` YARD (2~) DEBRIS 304051 7, 50 <br /> 12,~~2~/0£ : I 001-:317783 YARD (S) `DEBRIS ` 502012 35:00 <br /> 12/21/06 I 001-317810 YARD (S> DEBRIS 502012 25.00 <br /> 001-317876 YARD (S) DEBRIS 501052 12.50 <br /> t2~'2i.1/Of 1 .Obi-3~79~2 X,ARD ;(S) D~BRXS 5p105~` X2.`50 <br /> 12'22/06 I' ' 001-31812b YARD (S> DEBRIS 501052 12. 5.0 . <br /> 12/22/06 I 001-318125 YARD (S> DEBRIS 501049 6.25 <br /> 12,~22/Qf I 001-31$13.5. YARD (S) DEBRIS_ _ .5.02024 25.0,0 <br /> 12~22/Ofi I - 001-31815p YARD ,(S) AEBkI~~ ; 50J.047 12.50 <br /> 122.2/06 I '001-318154 YARD (S) DEBRIS 501052 Y2. 50 <br /> 12/22/06 I 001-318164 YARD (S) DEBRIS 501049 12.50 <br /> 1fL~22/fl6 I DOi-X18171 XARD (S) DEBRIS;` ; 50?.01~ 25, QQ <br /> 1~~2a/00 T OOi~3181~2 D~~~~S ~ ' ~3`(~10~2 12. Sp <br /> 12/22/06 I 001-318176 YARD (S) DEBRIS 501049 12.50 <br /> 12/22/06 I 001-318201 YARD (S) DEBRIS 501047 12.,50 <br /> `~.~~/.~~/06 I 001-31$'07 -X~ (S) I~~~IS 5'Or052 ].2.50 ' <br /> 'u~2~122/©~ I 001-318218 yA~ tS) D B,IS 501049 16.00 <br /> 12/22/06 I 001-318218 YARD (S) DEBRIS 502012 25.00 <br /> 22/Q+~ I .001-~]..2~2. (S) ~2 :R~~ X1452 ~~2 <br /> ~~~2~l~2/~ I, , '001-'~1$236i~' YA$.D (3} b RIB 5f~1t~4'T `1.2. 50 <br /> 12/22/06 I 001-318250 YARD (S) DEBRIS 501049 12.50 <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 /> 1.596 per month (18% APR). For questions about your bill, call LANE FOREST PRODUCTS accounting department directly at 461-3017. <br /> <br />