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STATE OF OREGON REMITTANCE ADVICE <br /> TO SIGN UP FOR DIRECT DEPOSIT PAYMENT SERVICE AND RECEIVE CONVENIENT, <br /> ELECTRONIC PAYMENTS LOG-ON TO http://egov.oregon.gov/DAS/SCD/SFMS/ach.shtml <br /> ON THE INTERNET. CLICK ON: FORMS AND BROCHURES THEN SELECT DIRECT <br /> DEPOSIT (ACH) AUTHORIZATION FORM. <br /> WARRANT NO. <br /> 121453366 <br /> DEPT OF COMM COLLEGES & WORKFORCE DEVELO (503) 378-8648 EXT. <br /> INVOICE NO. INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT AMOUNT <br /> GRNT0323 101309 GRNT0323 (7/1/09-9/25/09) 586 VP019077 68,623.69 <br /> ISSUE DATE: WARRANT AMOUNT <br /> 11/06/09 68,623.69 <br /> VENDOR NAME: CITY OF EUGENE <br /> STATE OF OREGON PAYABLE THROUGH US BANK 96 .40 <br /> Dept of Administrative Services 1232 A <br /> .# BANK WARRANT NO. <br /> To the State Treasurer, Salem, OR 97301 <br /> CHECK DATE 'a ‘ 12 1453366 <br /> DEPT OF COMM COLLEGES & WORKFORCE DEVELO <br /> (503) 378 EXT. 11/06/09 <br /> as PAY THIS AMOUNT <br /> DOCUMENT NO. $68,623.69 <br /> VP019077 <br /> *SIXTY EIGHT THOUSAND SIX HUNDRED TWENTY THREE AND 0/100 DOLLARS <br /> PAY TO THE ORDER OF: <br /> CITY OF EUGENE <br /> DEPT OF PUBLIC SAFETY VOID ATTER 2 YEARS FROM DATE OF ISSUE <br /> 777 PEARL PM 107 <br /> EUGENE OR 97401-2720 <br /> dtt <br /> AUTHORIZED SIGNATURE <br /> /e fitailaWMINNIMMINIMPIIMIRMININS <br />