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Eugene Sand & Gravel V/ <br />Correspondence 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 />12/31/2010 <br />Page 1 of 1 <br />Payment Amount $ <br />If payment amount differs from the balance due, <br />please atrach an a planatron <br />Statement Balance Due $911.70 <br />Please detach and return with your remittance. <br />• Indicates Partial Pay/Adjustment <br />Trans "TyV11 = f7^•~ """'a =¢i-,na,t",:1;;;"#(~rh;as'e <br />Y' ` <br />t`I1 t'Ma~ ttrd t 7 <br />'it ]late Type f dee Deaerfjitiuti:,: d„ ;af,iG#Aefli ReaOi c4; t `Balsiicl~ <br />!/01/10 1 1522729 Dragonfly Bend Sod Stockpile -Ann Scott Mdovi <br />911.70 911.70 <br />53[- 13,17- -UZ`00-%1-1'?Z <br />Route Date <br />To. ior++ <br />Job No C6 <br />Contr No <br />Assessable? YES or <br />I approve this for payment <br />r"^ : Z6ctoo~510 <br />~ ~ Z~CngzS <br />JAN 0 6 2011 <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 S2 00 whichever is greater, will be charged on all accounts not paid in full by the 25th of die month following purchases <br />