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Form 1371 -22 <br />(May 1988) <br />Wetlands <br />UNITED STATES <br />DEPARTMENT OF THE INTERIOR <br />BUREAU OF LAND MANAGEMENT <br />BILL. FOR COLLECTION <br />Bill Number <br />A 526107 <br />OCT 30 <br />Make Remittance Payable I <br />F <br />City of <br />PAYER: <br />L <br />Please detach top portion of <br />this bill and return with <br />remittance. <br />I J Amount of Payment $ <br />DATE DESCRIPTION AMOUNT <br />Payment due as described in the attached cost breakdown: $39,789 00 <br />DUE AND PAYABLE - 30 days from date of this bill <br />�-a� — U�tJ 3(o$Z �S3(o �-� <br />is (05 <br />Or-po ��` " 53(0 - `�V7 0 <br />o �z 'k::A�'C� <br />If ou have questions regarding this bill, contact <br />Pat Johnston at 683 -6181. <br />INTEREST WILL BE ASSESSED AT THE RATE OF 5 % PER YEAR IF FULL PAYMENT IS NOT MADE <br />WITHIN 30 DAYS OF TH DATE OF THIS BILL. <br />SEE NOTICE OF ACTIO S IN EVENT OF DELINQUENCY ON REVERSE. <br />AMOUNT DUE THIS BILL I $ 39,789 100 <br />NOTE: A receipt will be Issued for all cash remittances and for all other remittances when required by applicable procedures. Failure <br />to receive a receipt for ca payment should be promptly reported to the bureau or office shown above. <br />'o: <br />USDI <br />BLM - Eugene District Office <br />P 0 Box 10226 <br />Eugene, OR 97440 <br />Eugene <br />