STATE OF OREGON REMITTANCE ADVICE <br /> TO SIGN UP FOR DIRECT DEPOSIT PAYMENT SERVICE AND RECEIVE CONVENIENT, ELECTRONIC <br /> PAYMENTS, LOG IN TO HTTP:// WWW.OREGON.GOV /DAS /EGS /FBS /SFMS /PAGES /ACH.ASPX ON THE <br /> INTERNET. CLICK ON FORMS AND BROCHURES. THEN SELECT DIRECT DEPOSIT (ACH) <br /> AUTHORIZATION FORM. <br /> WARRANT NO. <br /> 123504142 <br /> JUDICIAL DEPT (503) 986 -5600 EXT. <br /> INVOICE NO. INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT AMOUNT <br /> 02010321144800 032614 JURY PER DIEM EXP 198 VI229101 50.00 <br /> 02010321144801 032614 JURY MILEAGE EXP 198 VI229101 8.80 <br /> ISSUE DATE: WARRANT AMOUNT <br /> 03/26/14 58.80 <br /> VENDOR NAME: BORGE, JEANETTE GAY <br /> FOLD ON PERFORATION LINE BELOW J BEFORE DETACHING. <br />