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STATEMENT <br /> _ ~ ~ LANE _ <br /> ~ i FOREST PRODUCTS <br /> <br /> jam, 12/31/06 <br /> 211 I 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 /> 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 /> PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT <br /> We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET 10TH <br /> = ~ • • <br /> 12/7/06 ~ 001-319271 YARD (S) DEBRIS 304052 5.00 <br /> 12/27/06 I 001-319276 YARD (S) DEBRIS 501036 12.50 <br /> 710I1 - `n01-319284 YARD (S) DEBRIS 501047, 12. 50 <br /> 12r'"7I0~6 T' X01--31~2~ YARD (S) DEBRIS 5:01049' 12.50 <br /> 12/27/06 I 001-319298 ARD (S) DEBRIS 501043 12.50 <br /> 12/27/06 I 001-319315 YARD (S) pEBRIS, 501052 12.50 <br /> ~r~,l~~ qa1-319,32.4 YARD. (~J DEBRIS _ 501044 1.2.50 <br /> `~i~2'7~/"0~ ~''I D01-319325 YARD (S) DEBRIS 501046 12.50 <br /> 12/27/06 I 001-319331 YARD (S) DEBRIS 501036 12.50 <br /> ~.~~/27?(~6 I -001-31934.E YARD _(S) Dh;BRIS ~ ~50.1049, 12.50 <br /> Y~1'27,~06 I 001-X1.9350, A;RP DF~'BRIS 501047_ 12.50 <br /> f2~27/06 I ()41-'37938 YARD t~) DEBRIS 501052 12.50 <br /> 12/'27/06 I 001-319392 YARD (S> DEBRIS 501043 12.50 <br /> ~.Zrf"~2~~?06 I ..001-x;19399 XARD D~B~IS _ ~ ~`0~.04~4 12. 50 <br /> ,2~'27/Q~6 T p01-~19~03 YA'~D D~~~RI:S 507~04~ _ . 50 <br /> 12X27/06 I 001-319405 YARD (S) DEBRIS 501036 12.50 <br /> _ 09 ARD (S) DEBRIS 501052 12.50 <br /> 12/27/06 I 001-3194 <br /> ~2~2'7/06 I 001-3.1~4~4 XAF~ ~S) ~~RIS 5010,43 - ].2. 50 <br /> v`~2~`27X06 .I t)01-~19`~26 YAK (B) IRIS - 501fl47 ~ 12.50: <br /> 12?27/06 I 001-319448 YARD (S) DEBRIS 501044 12.50 <br /> -.~.,,1~,27~OG I ,OQ,1 ~194~5~ (S) $RIS 501,46 12.50 <br /> ~'~%4~ I . Opl ~a~~s <br /> "„1~~"2`"~~ I O~i1-3194$' Y SS) R1~: a~J10~;~ 12: 50 <br /> ~ zS) ~RIS ~ 30103 ~ 12. 50 <br /> 12/27/06 I 001-319489 YARD (S) DEBRIS 501036 12.50 <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 /> 1.59b per month (18%APR). For questions about your bill, call LANE FOREST PRODUCTS accounting department directly at 461-3017. <br /> <br />