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vTA4TEMENT <br />Od <br />L A N+, <br />I <br />FOREST PRODUCTS` <br />_AnG <br />'11/30/06 <br />2111 Prairie Rd. <br />Eugene, OR 97402 <br />Telephone 541-345-9085 <br />Fax 541-461-2427 <br />E-Mail: lane@laneforestproducts.com <br />Please circle one: <br />Amount of payment <br />TO <br />City of Eugene Public Wks Card account number Expiration date <br />1820 Roosevelt <br />PO BOX 11110 Cardholder's signature <br />Eugene, OR 97440 <br />Account number: 244 <br />PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT . <br />We accept VISA, MasterCard, Discover, and American Express. TERMS DUE NET ;10TH <br />11/01/06 <br />B <br />BAL FWD <br />i <br />Balance brought' forward <br />577.37 <br />11/01/06 <br />I <br />001-295062 <br />YARD (S) DEBRIS 304047, <br />3.75 <br />11/02/06 <br />I <br />001-295418 <br />.YARD (S)'_DEBRIS 504035 <br />8.75 <br />11/02/06 <br />I <br />.001;-295420, <br />`YARD ,'(S),.DEBRI,S, 304053 <br />5.00 <br />11/02/06 <br />I <br />001-295476 <br />YARD (S) DEBRIS 501052 <br />10.00 <br />1.1/02/06 <br />I <br />001-295533 <br />YARD (S) DEBRIS 3040501 <br />.5.00 <br />11/02/06 <br />I <br />001-295574 <br />YARD;. (S). DEBRIS 304047 <br />5.00. <br />11/02/06 <br />I <br />001-295656 - <br />YARD < (S) DEBRIS 504035 , <br />6.25 <br />11/06/06 <br />I <br />001-297315-" <br />.YARD (S) DEBRIS 504017 <br />5.00 <br />11/06/06 <br />1 <br />001-297391. <br />YARD.(S).DEBRIS 3040511. <br />5.00 <br />11/07/06 <br />. <br />I <br />001-297543 <br />`YARD' (S.) DEBRIS 304050 <br />5.00 <br />11/07/06 <br />I <br />001-297640-- <br />"YARD (S) DEBRIS 5010461 <br />12.50 <br />11/08/06 <br />I <br />001-298137 <br />ARD (S) DEBRIS 501044 <br />12.50 <br />11/09/06 <br />I <br />0017298687 <br />YARD (S-) DEBRIS 304050 <br />5.00 <br />11/09/06 <br />- <br />DEBR 504017 <br />( <br />5.00 <br />; <br />11/11/06 <br />I <br />001-299830 <br />(S) 504033 <br />SAN <br />RIVER <br />17.00 <br />11/13/06 <br />I <br />001-300775 <br />YARD (S) DEBRIS 501043 <br />12.50 <br />11/13/06 <br />I <br />001-300.833 <br />YARD ';(S) DEBRIS 501043 <br />12.50: <br />' <br />.11/13/06 <br />I <br />001-300835 <br />YARD '(S) . DEBRIS 5.03036; <br />12.50 <br />. <br />11/13/06 <br />I <br />001-300850- <br />'-YARD (S) DEBRIS 501044 <br />12.50 <br />11/13/06 <br />I <br />001-300890. <br />YARD (S,). DEBRIS 501043;, <br />12.50 <br />11/13/06 <br />I <br />001-30089.6 <br />:YARD.(S)DEBRIS 501036 <br />12:50 <br />11/13/06 <br />I <br />001-301004 <br />YARD (S)'DEBRIS 501036' <br />12:50 <br />11/13/06 <br />I <br />001-301010- <br />-YARD (S) DEBRIS 501044 <br />12.50 <br />11/13/06 <br />I <br />001-301043 <br />YARD (S) DEBRIS 501043, <br />12.50 <br />11/13/06 <br />I <br />001-301065 <br />YARD (S) DEBRIS '501'044.. <br />I <br />12.50 <br />Charges made in one month are due and payable in full the 10th of the following month. Any unpaid balance iwill be subject to a.FI ANCE CHARGE of <br />1.5% per month (19% APR). For questions about your bill, call LANE FOREST PRODUCTS accounting department directly at 461-3017. <br />