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STATEMENT <br /> LANE " <br /> ~ ~ FOREST PRODUCTS <br /> 12/31/06 <br /> 2111 Ptairie Rd. <br /> Eugene, OR 47402 Pl9ase Circle one: <br /> Telephone 541-345-9085 ® ® $ <br /> Fax 541-461-2427 Amount of payment <br /> E-Mail: lane@ laneforestproducts.com <br /> TO <br /> Clty of Eugene Public 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 /> PLEA6E DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT <br /> We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET 10TH <br /> • ~ ~ • • <br /> 12/26/06 I" 001-318936 BARD (S) DE$R~S `501044 12.50 <br /> 12/26/06 I 001-318940 YARD (S) DEBRIS 501043 12.50 <br /> - ~.$?~8/06 I ; _ 001"318949 " ARD (S) •DEBRIS 501052: 13". 5'4 <br /> I~1~'2f/0"F 001-31895 YARD, (S) DEBRIS _ ~~109.C ~2~'S'0 <br /> 12/26/06 I 001-318957 YARD (S) DEBRIS 501049 12.50 <br /> 12/26/0.6 I 001-318972 .YARD (S) DEBRIS 501044 12...50 <br /> •"~'2f/06' 001-,31$974 YARD (S) )7EBRIS 501036• 12.50 <br /> 2r~26106 I 001-$18976 YARD (S) DEBRIS 501-096 12.50 <br /> 12!26/06 I 001-318982 .YARD (S) DEBRIS 501049 12.50 <br /> 1.2,26106 _I. 001-31-9025 YARD (S) DEBRIS 501044 12.50 <br /> 12;(26/t~6 3 , _1)01-.319040 YA£~D (S) ~I!Y3~IS 501096; - 12:"~0 <br /> 121'26/D6 I' 001-3YJ045 YARD (S) IjEBRIS 501052 '12.50 <br /> 12/26/06 I 001-319061 YARD (S> DEBRIS 501049 12.50 <br /> ,.~~~'2,8I06 I 001-319063 YARD {S) DEBRIS. .;501036' 12 "50 <br /> , <br /> .~.2~2~/06 2>" ~O1-3190~'l$ (S) D~~RIS 51052 ,12. <br /> 12,/26/06 I 001-319083 YARD (S) DEBRIS 501044 12.50 <br /> 12?26/06 I 001-319102 YARD (S) DEBRIS 501096 12_.50 <br /> ~~?26/06 I Opt-;319109 ADD (S) ~.\.BR1S 5~01Q~9 12.50'. <br /> i•"'?2"7/08 1001-319220 YAI~ (S) ,~BRIS ~ -~~050 ~ 5.00 <br /> 12/27/06 I 001-319222 ARD (S) DEBRIS 501036 12.50 <br /> X2,,/,27/06 _ I ._OQ1-319223 Y (S) ;~y" R.1S -5~01~04~9 12. 5.0 <br /> Y ~"~~~6 .:•I " ~ ~1-31~~~3~ ~S) j A~' '~~~.~J~7 1.2. 50 <br /> ~1~12~1%0$ I `0~1-3i'9234 'YA~t,D • (S) ~~,15 50f 043 ~ 12.5'0 <br /> 12/27/06 I 001-319243 ARD (S) DEBRIS 501044 12.50 <br /> I: OOL~«~1p.2~46 ; S. ~.1 $°f ~32,. 5Q <br /> ~ ~ bo,i~~~19~~~ r~~ ~ ~ai~7 .12.50 <br /> k <br /> •1 1+ ~ '1 • 1 ~ + • ~ <br /> <br /> Charges made in one month aze 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°6 per month (18% APR). For questions about your bill, call LANE FOREST PRODUCTS accounting department directly at 461-3017. <br /> <br />