V <br />DM2009000751010 <br />Statement <br />DM2009000751010 <br />-i & Z <br />SCHOOL DIST 43 <br />200 N MONROE ST <br />EUGENE OR 97402 <br />Please return this portion with your payment. <br />1 $60.00 <br />DDITIONAL PAYMENT <br />PAYMENT <br />Statement Date Current <br />1-30 31 - 60 61+ <br />6/1/2009 $60.00 <br />$0.00 $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 Stl'dH OL DISTRICT 4J <br />Current amc,94 Me-)i"C'f APPROVAL FOR PAYMENT <br />V s. -424- SITE; PROJECT: Lam"" - <br />BudgstAcct# <br />Win: u;:cr9d IDS enN-4-Z d $ ~ <br />i E1%• •u;!!(j for V4) f141f1Y to ' ' 04 t'-r / <br />t •----te: <br />4, by Liu~ 1 Date: L;6r-g <br />THIS IS A FINAL BILL! Please mail a chE <br />3s q -76c) <br />$60.00 <br />$60.00 <br />AMOUNT DUE $60.00 <br />to this office by the above date to pay your account in full. <br />Principal balance NOT INCLUDING INTEREST as of Statement Date: $60.00 <br />Account#: DM-2009000751010 _ <br />Map & Taxlot: #18-04-01-13-00100 1r-~ S I~cGtn~l~ <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 />Finance <br />100 West 10th Ave #400 <br />} P.O. BOX 1967 <br />l Eugene, Oregon 97440 <br />t Ph: (541) 682-5037 <br />Fax: (541) 682-5802 <br />Email: eugenecrs@ci.eugene.or.us <br />C4zkUc;4 K, <br />