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Statement <br /> L~.~ SCHOOL DISTRICT N0.4J, LANE COUNTY <br /> Facilities Management Offices <br /> 715 West 4a' Avenue <br /> Eugene, OR 97402 <br /> To CIT EUGENE P December 9, 2004 <br /> A ROBIN HOSTICK <br /> 182 ROOSEVELT B <br /> EU NE OR"9 <br /> Statement for the following: <br /> For use of facilities at Spring Creek Elementary School on the following dates: <br /> October 21, 2004: (PAST DUE) <br /> Cafeteria - 1 day for 3 hours at $12.50 per hr........... . <br /> November 18, 2004: <br /> Cafeteria - 1 day for 3 hours at $12.50 per hr X37.50 <br /> ~~1 `?~~s <br /> Total amount due....... <br /> ~ 2 <br /> ~ ~ ~ <br /> _ <br /> ~a <br /> lease make payment to: Eugene School District 4J <br /> Attn: Marilyn Scharen <br /> 4J Facilities Mgt. Offices <br /> 715 West 4a' Avenue <br /> <br /> _ Eugene OR 97402 <br /> PLEASE return a copy of this Name Maril Scharen <br /> invoice with your remittance to <br /> ensure credit to your account. Title Administrative Assistant for Facilities Mana ement <br /> <br />