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Ore on INVOICE Oregon Department of State Lands <br /> g 775 Summer Street SE, Suite 100 <br /> Salem, OR 97301 <br /> _ Department Phone: 503-378-3805 <br /> of State Lands Fax: 503-378-4844 <br /> '~~-~l / ~ , . ~ . <br /> Invoice 3215 <br /> Eugene City of Invoice Date: August 14, 2007 <br /> 244 E Broadway Due Date: September 15, 2007 <br /> Eugene OR 97401 Account Type: Application <br /> Account ID: APP0037265 <br /> Date Transaction _ Amount Balance <br /> 09/25/20D6 Charge $225.00 $225.00 <br /> 771: Fill Volume Fee (28,737 Cu Yard) (Billed 9/18/2006) <br /> 09/25/2006 Charge $375.00 $600.00 <br /> 760-4: Base Fee Fill (Public/Commercial) (Billed 9/18/2006) <br /> 10/17/2006 Payment <br /> ($600.00) $0.00 <br /> 06/29/2007 Charge $375.00 $375.00 <br /> 760-4: Base Fee Fill (Public/Commercial) (Renewal billed 08/01/2007) <br /> <br /> 07/23!2007 Charge $245.00 $620.00 <br /> <br /> 960: Miscellaneous Fee (PubJComm Fi11 Renewal (Total $620)) _ 3 _ ~ - 9lv5jly <br /> 0 Days: $375.00 60 Days: $0.00 90 Days: $0.00 _ _ Ending_ Balance: $620.00 <br /> n V ~ J J~ '!Dote rJ~te _~-Z~~-O~__ <br /> Assessments YES or !HMO <br /> q <br /> <<,F,, ~ P ~ ~ ~pP ~~his f men . <br /> I - P <br /> _i <br /> Tear off and return bottom portion with payment. Please do not send cash. <br /> Applicant: Eugene City of <br /> Mail Payments to: .Account Type: Application <br /> Department of State Lands Account ID: APP0037265 <br /> Unlt 18 Invoice 3215 <br /> PO Box 4395 Invoice Date: August 14, 2007 <br /> Portland OR 97208-4395 Balance Due: $620.00 <br /> Amount Paid: <br /> <br />