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Eugene Sand & Gravel <br />Correspondenceaddrem- <br />P O [lox 1067 <br />1 egenc OR 97440 <br />541-683-6400 <br />Please remit payment to: <br />Eugene Sand & Gravel <br />File 311188, 110 eox 600011 <br />San Fnmcisco CA 94160 <br />Account Number 47719 <br />City of Eugene Public Works Engineering <br />ATTN: Scott Mulovich <br />99 East Broadway Suite 400 <br />Eugene OR 97401 <br />s <br />Statement of Account <br />As of <br />10/28/2010 <br />Page 1 of 1 <br />Payment Amount $ <br />If payment amount differs from the balance due, <br />please attach an explanation <br />Statement Balance Due $1,823.40 <br />Please detach and return with your remittance. <br />' Indicates Partial Pay/Adjustment <br />Trans <br />Date Type Invoice Description Activity Retainage Balance <br />09/01/10 1 1491553 Alm Scott Mdovlch - DragonflyQ 7 ,?71/D 911.70 911.70 <br />luulu r 1504781 Arm bean MlloVJCh - Dragonfly <br />911.70 1,823.4( <br />Route Date L 6 /U <br />To: anv t_- ~H ,u <br />JobNo.~~( $ <br />Con': No _ <br />Assessable? YES or <br />I I approve this for payment. <br />"rt °e Date: " (p t <br />NOV 0 2 2010 <br />Current <br />I -30 Days <br />31 - 60 Days <br />61 - 90 Days <br />Over 90 Days <br />Retainage <br />Balance Due <br />911.70 <br />911.70 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />1,823.40 <br />Account is due on the 10th of the month following purchases A Late Charge of 1 1/2 %per month, which 1s an ANNUAL Percentage Rate of <br />18% or $2 00 whichever is greater, will be charged on all accounts not paid in full by the 25th of the month following purchases <br />