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BILL TO: CITY OF EUGENE <br />ACCOUNTS PAYABLE <br />PO BOX'11110 <br />EUGENE OR 97440 <br />PLEASE REMIT TO: <br />32260 OLD HWY 34 <br />TANGENT, OR 97389 APR 2 g KQ <br />(541) 928 -6491 • Fax (541) 791 -2016 <br />OR CCB #2101 • WA #MORSEB1169BR <br />PO- X20 6 . <br />REC• <br />TO A/P• <br />5% NET 10TH - KRC NW 1 05/10/11 <br />3749095 <br />450N5K1SR <br />5000PS1 3 /4CR W /AIR &FA SPR -RET <br />24034006 <br />3749095194MA <br />10.00 <br />FIBERMESH ADDITIVE <br />24034006 <br />3749095 <br />4FUELRM <br />FUF.I.CHARGE <br />24034006 <br />37490961245ON5KISR <br />. <br />5000PSI3 /4CR W /AIR &FA SPR -RET <br />24034055 <br />374909 <br />4MA <br />FIBERMESH ADDITIVE <br />24034055 <br />3749096 <br />4FUELRM <br />FUEL CHARGE <br />24034055 <br />3749100 <br />450N5K1SR <br />5000PSI3 /4CR W /AIR &FA SPR -RET <br />24034039 <br />3749100 <br />4MA <br />FIBERMESH ADDITIVE <br />4034039 <br />3749100 <br />4FUELRM <br />FUEL CHARGE <br />4034039 <br />3749104 <br />45ON5K1SR <br />5000PS1 3 /4CR W /AIR &FA SPR -RET <br />4034068 <br />3749104 <br />4MA <br />FIBERMESH ADDITIVE <br />4034068 <br />3749104 <br />4FUELRM <br />FUEL CHARGE <br />24034068 <br />3749106lo2450N5K1SR <br />1,291.50 <br />5000PSI 3 /4CR W /AIR &FA SPR -RET <br />24034006 <br />3749106 <br />4MA <br />FIBERMESH ADDITIVE <br />24034006 <br />3749106 <br />24FUELRM <br />FUEL CHARGE <br />4034006 <br />7.65 <br />10.00 <br />Subtotal Product <br />123.0000 <br />INVOICE NUMBER <br />1079448 <br />INVOICE DATE) PAGE <br />04/22/11 CJ 1 of 1 <br />CUSTOMER NUMBER <br />31876 <br />BRANCH PLANT <br />240830 <br />MBI EUGENE READY MIX <br />SALES ORDER NUMBER <br />937144 <br />CUSTOMER P.O. <br />17TH AND JEFFERSON EUGENE <br />7.65 <br />10.000Y <br />123.0000 <br />1,230.00 <br />10.00 <br />10.00 <br />EA <br />10.0000 <br />100.00 <br />1.00 <br />1 .On <br />A <br />. <br />9.75 <br />8.22 <br />10.75 <br />CY <br />123.0000 <br />"1,322.26 <br />1 <br />' ' ^:'10.75 <br />A <br />10.0000 <br />:_ <br />1.00 <br />1.00 <br />EA <br />9.7500 <br />9.75 <br />8.22 <br />10.75CY <br />123.0000 <br />1,322.26 <br />10.75 <br />10.75EA <br />10.0000 <br />107.50 <br />1.00 <br />1.00EA <br />9.7500 <br />9.75 <br />8.03 <br />10.50 <br />Y <br />, 123.0000 <br />1,291.50 <br />10.50 <br />10.50 <br />EA <br />10.0000 <br />105.00 <br />1.00 <br />1.00 <br />EA <br />9.7500 <br />9.75, <br />7.65 <br />10.00 <br />CY <br />123.0000 <br />1,230.00 <br />10.00 <br />10.00 <br />EA <br />10.0000 <br />100.00 <br />1.00 <br />1.00 <br />EA <br />9.7500 <br />9.75 <br />52.00 <br />CY <br />6,964.77 <br />h y 3 <br />::::;i:::::;G::::::;>::::: ::..:......: ::l;.`:::: is:::i:::::: :` <::.= `i:::::::::::: <br />TAXABLE AMOUNT: <br />.>.;..:..::. �.;..:'p;iEii:ri''`i ii >Y ?:. >.;::`;<<:g;::.`:.;;`; <iii';`E >' ;i'ii' >i <br />::....._ <br />>' "r'156 ;:;.;: S:< TAX::.;:..;.:;.:. >::.;:.:DI ......... <br />NONTAXABLE AMOUNT: 6,964.77 6 ,964.77 348.26 6, 964.77 <br />TERMS: NET - DUE AND PAYABLE BY 10TH OF MONTH FOLLOWING PURCHASE. A finance charge of 1 1/2 %, per month, or a minimum of $1.00, <br />will be made on the unpaid balance at the end of the following month's billing cycle. This is an ANNUAL PERCENTAGE RATE OF 18 %. PERSONAL <br />NOTICE: We reserve the right to claim lien for all labor and material furnished on this job according to OREGON REVISED STATUTE 87.021. <br />FORM 36 Revised 12/10 <br />