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Eugene Sand & Gravel <br />Corropondence address. Please remit payment to: <br />P O Box 1067 Eugene Sand & Gravel <br />Eugene OR 97440 File 31088, P O Box 60000 <br />541-683-6400 San Francisco 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 />Statement of Account <br />As of <br />11/29/2010 <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 $911.70 <br />Please detach and return with your remittance. <br />Indicates Partial Pay/Adjustment <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br />Trans <br />Date Type Invoice 1leserlpticn Activity RetainageBalance <br />1101/10 1 1517514 Dragonfly Bend Sod Stockpile - ATTN Scott Mdovicl <br />911.70 911.70 <br />zv~ l 007 ~'q9 <br />L)011 <br />IQ's <br />5-11, X332°(aZgLb-q <br />Route Date I C <br />To: 1;111 5- H 11A <br />Job No. ~'~6 6 4 <br />Contr No <br />I AEcessaa109 YES or <br />1 1 apProvo this for payment. <br />0 <br />Account is due on the 10th of the month following purchases A Late Charge of 1 1/2 %per month, which is 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 DEC 0 2 1010 <br />