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City a~ Eugene ,
<br />i*uel Tax Refund Claim
<br />For period covering 12/®1J~~ - 2/2/10 .
<br />Location =1~~0 Roosevelt B~vd~:6ugerre 97402 Location = 41a Rives Ave, Eugene, 97404
<br />~eliv~ry D~t+~ ' Product Iota! Galians Tax Paid Delivery Date Prod~c~ Total Gallons i'ax Paid ,
<br />. 12/101~00~ ~~0 8,001 40o.a5 ~ oz1a9/09 i:1o ~,5ao 75,00
<br />12/26/2p~~ E10 8,002 404.10 06/05/09 850 1,502 15.10
<br />~.2/19/~008 820 8,01 400.D5 06/15/09.. E10 1,500 75.00 1/15~ZOa9 ~~0 8,000 ~ 400.00 914/2009 X10 1,001 50.05
<br />2/5/2009 02a 8,0oa 400.00 9/14/009 X50 2,5x1 125.05
<br />2112009 Eta 8,000 400.00 1/5~201o E1o ~,ooa 5o.oa
<br />2~~~~~oo~ 020 8,oao 400:00 ToTAIS RIVER AvE SITE 9,004 ~ 450,20
<br />3/231~~09 82o s,ooo 400.00
<br />4/14/2009 820 8,000 400.00 s15/~oog s1o ~,oo0 400.00
<br />5/16/200 820 8,000 40o.ao
<br />X11211009 BZO 8,oao 4oaoo .
<br />013o/ZOO9 0zo 8,000 4oa.oa
<br />7/212009 Edo 8,000 400.00
<br />7115~200~ E1o . 6,01 025.05 aela/coos 8zo 4,soa z2s.oo
<br />7117/zao~ E1o 8,011 4oa.55
<br />7129/2oa9 X20 8,000 400,00
<br />8112009 E1o 7,003 350.15
<br />8/16120Q9 B2o s,oo5 400,25
<br />812012aos E1o B,ooa 400:00 9/1/2009 B2o 8,aoa 400.00
<br />9/2/Z009 E10 8,001 400.05
<br />9/17/1009 E1~ 8,a03 400.15
<br />9111/1009 81;0 8,oa8 4®4.40
<br />10/1/1009 Eta 8,000 400.x4 10/8/1009 82;0 8,001 400.10
<br />1o/~9j1009 E10 8,003 400.15
<br />1x12811049 B20 8,Q89 404,45
<br />11/3/ZOO9 E1o 7,98 399.90
<br />111~sIz0o9 R2o 8,aoo 400.00
<br />11/1911009 E1o .8,0..02 400.10 11/411009 020 2;04 ~ 855.20
<br />12/712009 Ego 7,993 399.65
<br />11/21/2009 810 8,000. 40.0,00
<br />12/11/100 Eta 7,792 389.60
<br />1181zo1o E1o . 8,ao1 400.05
<br />11111z01o 010 8,ao1 4oo.os ~ . 11211zo1o Ego 7,4:48 372.40
<br />2/11101D 820 8,001 400,05
<br />2/5/1010 E10 4,002 Zx0,10
<br />211120~o E1o 8,003 4oa.15
<br />21251~0~0 020 8,01 4ao.o5 TOTALS RooSEVELT sITE 382,476 ~ 16,623,80
<br />toTAL I~uI~~ER or GA~oNS ~uRCwAsED ~z/o~IzaoB - z~z8lzo~o 841,480
<br />TOTAL INVENTORY AT END of REPORTING PERIOD 2874
<br />TOTAL REFUNDABLE GALLONS 338,606 TOTAL REE~UND REQU~~TI±D ;~R~FUND►4RCE GA~~~NS x .45~ 1fi,S~0.30
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