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Oregon <br />~,, " ,. <br />,~ ': <br />~_~'. Department <br />of State Lands <br />INVOICE Oregon Department of State Lands <br />775 Summer Street NE, Suite 100 <br />Salem, OR 97301 <br />Fax: 503-378-4844 <br />Phone: 503-986-5200 <br />Contact: Kiryuta Gloria <br />Invoice #: 4994 <br />Eugene City of Invoice Date: May 29, 2008 <br />224 E Broadway Due Date: July 17, 2008 <br />Eugene OR 97401 Account Type: Application <br />Account ID: APP0038213 <br />Date Transaction Amount Balance <br />04/28/2008 Charge $620.00 $620.00 <br />760-4: 2007 Base Fee Fill (Public/Commercial) (Renewal Fee (Billed 06/02/08)) <br />30 Days: $0.00 60 Days: $0.00 90 Days: $0.00 Ending Balance: $620.00 <br />f <br />e A - ~~ q33~-l~l~l~~~ d <br />~~C NNED'P~P <br />G~ ~p/~' - ""~Al dDo~nalais ~ <br />~~k ~ ~~ <br />P ^ , / ~~~ a <br />., , `., ~~ <br />Tear off and return bottom portion with payment. Please do not send cash. <br />Mail Payments to: <br />Department of State Lands <br />Unit 18 <br />PO Box 4395 <br />Portland OR 97208-4395 <br />Applicant: Eugene City of <br />Account Type: Application <br />Account ID: APP0038213 <br />Invoice #: 4994 <br />Invoice Date: May 29, 2008 <br />Balance Due: $620.00 <br />Amount Paid: <br />