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- . <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 /> tC& 4.24.)4- <br /> WARRANT NO. <br /> 123535498 <br /> OREGON WATERSHED ENHANCEMENT BOARD (503) 986 -0924 EXT. <br /> INVOICE NO. INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT AMOUNT <br /> 2013 -26- 335 -10333 691 VI008989 6,922.25 <br /> ISSUE DATE: WARRANT AMOUNT <br /> 04/22/14 6,922.25 <br /> VENDOR NAME: CITY OF EUGENE <br /> FOLD ON PERFORATION LINE BELOW n BEFORE DETACHING:. <br /> STATE OF OREGON To the State Treasurer, Salem, Oregon 96 -10 <br /> Dept of Administrative Services PAYABLE THROUGH US BANK 1232 y`, * BANK WARRANT NO. <br /> CHECK DATE , � 77 �y� 12 3535498 <br /> OREGON WATERSHED ENHANCEMENT BOARD *wan Vl <br /> (503) 986 -0924 EXT. 04/22/14 ` •,�;' <br /> PAY THIS AMOUNT <br /> VI008989 $6,922.25 <br /> * * * * * * * ** *SIX THOUSAND NINE HUNDRED TWENTY TWO AND 25/100 DOLLARS <br /> PAY TO THE ORDER OF: <br /> CITY OF EUGENE VOID 2 YEARS AFTER DATE ISSUED <br /> 1820 ROOSEVELT BLVD <br /> EUGENE OR 97402 <br /> AUTH. / IZED SIGNATURE <br />