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r--- <br /> C <br /> -'t" ~ ~ ls! c~ <br /> City of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 04- 04378- 01 <br /> Owner: <br /> 32270 FOX HOLLOW Cashier KEH <br /> CITY OF EUGENE - PW ENGINEERING RD <br /> 858 PEARL ST 1ST FL Invoice Date 09/22/04 <br /> EUGENE OR 97401 <br /> Phone: ( ) 682-5291 Extension PDD/BPS <br /> Erosion Prevention Project Name: Amazon Headwaters Trail <br /> L - GL Code 1 _ ~ ' _ Description V ~ Amount <br /> 151-4211-45226-000-000000 Erosion Administrative Fee (8%) 28.00 <br /> 535-9323-42450-000-000000 Erosion Prev -Commercial-New < 1 acre 350.00 <br /> .Bill to City of Eugene - PWE / GJN 4180 / Attn: Adam Steffen Amount Due: 378.00 <br /> <br /> ~~rr <br /> iQuestions concerning this invoice? MAKE ALL CHECKS PAYABLE TO: <br /> Call: Debbie Newhard City of Eugene <br /> (541) 682-8822 Finance Department <br /> PO Box 1967 <br /> Eugene, OR 97440 Route Datel~.2'~ •d <br /> To• ~8~1~ C~LAQk. <br /> Job No. ~1 PO A:N•~tAl~ <br /> THANK YOU FOR YOUR BUSINESS! Contr. No. <br /> Customer Copy ? PIC dopy Finance Copy Assessable? YES or NO <br /> I ove th' for payment. <br /> Page 1 of 1 <br /> ~ r~ur~a Da 10 •2.~ • Q <br /> <br />