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Eugene Sand & Gravel <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 Son 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 01 <br />01103111 1 1531133 Dragonfly / Arm Scott Mdovich <br />To: <br />Job No. <br />Contr No. <br />Assessable? YES or <br />I approve this for pay2j2nt, <br />FEB 0 3 2011 <br />Account is due on the I Oth 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 <br />Statement of Account <br />As of <br />01/29/2011 <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/Ad)usunent <br />911.70 <br />ap <br />911.70 <br />