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OregorlDepartmerst afTransportation <br />N V@ I ~ E PAGE N0. 1 <br />ILLING DATE <br />11/06/07 19:28 <br />(COUNT NO. <br />SEE BELOW <br />TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br />OREGON DEPARTMENT OF TRANSPORTATION <br />355 CAPITOL STREET NE, RM434 <br />SALEM OR 97301-3872 <br />OST-CITY OF EUGENE PUBLIC WORKS <br />LGIP ACCOUNT #4909-TAMMY SMITH FOR INFORMATION CONCERNING <br />858 PEARL 4TH FLOOR THIS INVOICE CALL: <br />EUGENE OR 97440 (503)986-3879 <br />GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br />73 350 0000132900-84 9901 <br />ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br />SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br />~i <br />~~~ ~1~~~ <br />AMOUNT DUE <br />