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~~S <br /> O egon INVOICE ~ '9on Department of State Lands <br /> ~ Summer Street SE, Suite 100 <br /> . D 1~artrnent Salem, OR 97301 <br /> t' ~ Phone: 503-378-3805 <br /> of tate Lands V" Fax: 503-378-4844 <br /> Invoice 2300 <br /> Eugene City of Invoice Date: December 4, 2006 <br /> 1820 R osevelt Blvd Due Date: January 15, 2007 <br /> Eugene OR 97402 Account Type: Application <br /> Account ID: APP0033479 <br /> ate Trans tion Amount Balance <br /> <br /> 02/ 6/2006 Payme t ($375.00) ($375.00) <br /> <br /> 03/ 8/2006 Charg $375.00 $0.00 <br /> <br /> 76 -4: Base Fee Fill (Public/Commercial) (Renewal Billed 12/05/2005) <br /> 11/ 9/2006 Charg $375.00 $375.00 <br /> <br /> 76 -4: Base Fee Fill (Public/Commercial) (Renewal Billed 12/1!2006) <br /> 30 Days: $0.00 60 Days: $0.00 90 Days: $0.00 Ending Balance: $375.00 <br /> p~a~iwd by th® <br /> i <br /> ~ ~ 6 2006 <br /> ~Rpi>~ of Public Wo~kn <br /> I~ <br /> <br />