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I <br />DM2009000751010 <br />Statement <br />DM2009000751010 <br />-T Cv~~ Z <br />SCHOOL DIST 4J <br />200 N MONROE ST <br />EUGENE OR 97402 <br />Please return this portion with your payment. <br />Finance <br />100 West 10th Ave #400 <br />P.O. BOX 1967 <br />Eugene, Oregon 97440 <br />Ph: (541) 682-5037 <br />Fax: (541) 682-5802 <br />Email: eugenecrs@ci.eugene.or.us <br />$60.00 <br />DDITIONAL PAYMENT <br />PAYMENT <br />Statement Date Current 1-30 <br />31 - 60 61+ <br />6/1/2009 $60.00 $0.00 <br />$0.00 $0.00 <br />Amount due forward <br />$0.00 <br />Late Fee <br />$0.00 <br />0 Payment(s) received <br />$0.00 <br />Adjustment <br />$0.00 <br />Amount Past Due <br />$0.00 <br />CURRENT INSTALLMENT_AMOUNT <br />SDC-MONTHLY 8:-'IH vL DiSTRtCT 4J <br />Current amobrtt ddejj ct' I APPROVAL FOR PAYMENT <br />s Ll ?~CnF;m" <br />SITE: PROJECT: <br />Uc,c Budg&t A=4 <br />~'-t+• i K; creel Payment Ap ro 66 ~ J~.~.. , <br />in~,• w•-,xJ for U4' ''i ent by <br />by: <br />THIS IS A FINAL BILL! Please <br />a check to this office by the above date to Dav your account in full. <br />Principal balance NOT INCLUDING INTEREST as of Statement Date: $60.00 <br />Account#: DM-2009000751010 J _ <br />Map & Taxlot: #18-04-01-13-001001rl S I~Cnc~-uc <br />Property Loc: 1650 22ND AVE W EUG <br />Installment: 1 month(s) <br />Bill Note: <br />Report address change immediately to Finance (541) 682-5037 <br />Make checks payable to CITY OF EUGENE <br />Date: <br />3 C1 -7 G o <br />$60.00 <br />$60.00 <br />AMOUNT DUE $60.00 <br />cl'r~ K-11 <br />