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City of Eugene <br />Fuel Tax Refund Claim <br />For period covering 07/01/10 -1Z/31/10 <br />location =1$~®Roasevelt Blvd, Eugene 974aZ location = 41®River Ave, Eugene, 97404 Delivery Date Product Total Gallons Tax Paid Delivery Date Product Total Gallons Tax Paid <br />7]5]20.0 E10 8,001 ~ 400,05 9]13]2010 E10 x.,494 74.70 <br />7]19]2010 E10 8,003 400.15 <br />7]19/2010 B20 ~,ODa 400,00 <br />7]30]2010 E1D 7,998 399.90 <br />8]5]2010 B20 8,000 400.00 <br />8]12]ZD10 E1o s,oD~ 4aa.15 0.00 <br />s1251201a B2o g,ooo 4ao.oo TOTALS RIVER AVE SITE 1,494 $ 74,70 <br />s]25]ZO1o E1o 7,498 374.90 <br />9]s/2o1o Eta s,oo~ 400.05 9]21]2010 E1o 7,999 399.95 <br />9]15]ZD1D B2o. 8,009 400.45 <br />10]4]2010 B20 B,D00 400.00 <br />io]5]ZO1o E1o 7,99s 399,90 <br />10127]2010 E1o 8,DO1 400.05 <br />1o]18]Za1o E1o 4,001 200,05 <br />10]1s]2o1o B2o 4,000 ZoD.oa <br />1112]ZO1o B2o s,ooo 400.00 <br />11/1012010 E1o s,oo 400.05 . 11]19]2010 Bea s,oo1 4ao.o5 <br />11/22/2010 E10 4,001 Zoo.oS <br />12/3/2010 E1D 4,002 2oa.1o <br />121s/2010 B2o s,oa4 400.20 <br />~2113]zolo E1o s,oa9 4aa.45 <br />12]27]2o1a B2o 8,oa2 400.10 <br />12]29]ZO1o E1o s,DO2 400.10 <br />TOTALS RoosEVELTSITE 1s3,s34 ~ 9,175.70 <br />BEGINNING INVENTORY oN LAND (FROM LAST REPORT) 17,509 <br />TOTAL NUMBER DF GALLONS PURCHASED o7/0~.]201a ~ 1Z/3~./2Q10 1$5,028 <br />TOTAL INVENTORY AT END DF REPORTING PERIOD 17,715 <br />TOTAL REFUNDABLE GALLONS 1$4,921 <br />T®TAL REFUND REQUESTED ~REFUNDABIE GAS[.®NS ~ $.05~ ~ 9,24fi.05 <br />