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- ~o~ ZS~O~ <br /> City of Eugene INVOICE <br /> Permit and Information Center <br /> Eugene, OR 97401 (541) 682-5086 <br /> Site Address : Log Number 04- 03046- 01 <br /> Owner: <br /> 3550 ARROWHEAD ST Cashier CXC <br /> CITY OF EUGENE/{'!~~ <br /> 858 PEARL Invoice Date 06/21/04 <br /> EUGENE Or 97401 <br /> Phone: ( ) - Extension PDD/BPS <br /> Site Dev/Site Work Project Name: Arrowhead Park <br /> - - _ - <br /> GL Code - - - - - --Description- ----~--------~---------Amourt <br /> 151-4211-45226-000-000000 Site Develop Administrative Fee (8%) 51.60 <br /> 151-4220-42562-000-000000 Site Devel. Plan Ck & Permit Fee 645.00 <br /> Bill City of Eugene PWE/ Scott Milovich / GJN:3999 /Arrowhead Park Amount Due: 696.60 <br /> (Q EB~~ 521- 9 ~~fi' -~"t2S~SL <br /> ~ r 'R °ur ~ ~ <br /> v~~rr~t~vt-(,! irk- rnudc. h Ala-~'h ir~ic~c,~t~c`'~ a-~ ~c~GlS~3.fl~1v~ <br /> <br /> t <br /> gout=i~uie _c~Izgl(__ ~ <br /> l~o YV1 ~ \U~t-~-' <br /> Job No. _~i`.L~.~ <br /> Contr No. <br /> Assessment? YES or NO <br /> I appro a th~s for payment. <br /> v - ~ <br /> Questions 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 <br /> THANK YOU FOR YOUR BUSINESS! <br /> ? Customer Copy ? PIC Copy ? Finance Copy <br /> Page 1 of 1 <br /> I J _ <br /> ~i <br /> <br />