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City of Eugene <br />Fuel Tax Refund Claim <br />Far period covering o3JQ1/10 - 613o11a <br />Location =1S2Q Roosevelt Bfvd, Eugene 974Q2 location = 4~.D River Ave, Eugene, 974Q4 <br />Delivery Date Product Total Gallons Tax Paid Delivery Date Product Total Gallons Tax Paid <br />31212a1o Eta $,aa1 4aa.a5 a3/11/1a E10 1,aaa 5a.aa $/1$/2010 E10 $,003 40x.15 06/09/10 E10 994 49.7a <br />3~18/201a 620 8,003 400.15 06/09/10 B50 2,497 124.85 <br />4J2/2010 E10 $,aaa 4aa.aa a.0a <br />4J8/2a1a 620 8,aa0 4aa.aa a.aa <br />4J16/201a Eta l,aa4 35a.2a a.aa <br />4/29/2010 Bza 8,aaa 4aa.aa TOTALS RIVER AVE 51TE 4,491 $ 224.55 <br />4/30/2010 E10 8,004 400.20 5/19/2x10 820 7,999 399.95 <br />5/17/2010 Eta $,OOx 400.00 <br />5/2$/2010 Eta 4,aa2 2xa.~0 <br />618/2a1a Eta s,ax3 4x015 <br />6/912x1x 620 8,oox 40x.xx 6/23/2010 Eta 8,x01 4x0.05 <br />6/2$/2010 E1Q 1,999 399.95 <br />aaa <br />o.xx <br />TOTALS RooSEVELT s1TE. 1~.5,U19 ~ 5,750.95 <br />BEGINNING INVENTORY ON HAND FROM LAST REPORTS 2,814 <br />TOTAL NUMBER OF GALLONS PURCHASED 03/Q~./2a1Q - 6/30/2010 119,510 <br />TOTAL INVENTORY AT END OF REPQRTING PERIOD 17,609 <br />TOTAL REFUNDABLE GALLONS 104,775 <br />TOTAL REFUND REQUES~'ED (REFUNDABLE GALLaNS x $.05) $ 5,23$,75 <br />.A ~ y3, <br />;uM <br />h <br />