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_ ___ <br />Oregon Deparm~nt of Transportation <br />I ~ ` i~ ~ ~ C PAGE N0. 1 <br />y ` ILLING DATE. <br />08/07/07 19:15 <br />(COUNT N0. <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 /> OS~ T-CITY OF EUGENE PUBLIC WORKS <br /> LSIP ACCOUNT #4909-TAMMY. SMITH FOR INFORMATION CONCERNING <br />~ 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> <br /> <br />GENCY T/C ~ CORR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br />73 350 0000132900-84 9901 <br />ACCOUNT NO . REVENUE <br />SOURCE A6ENC9 <br />SOURCE CUSTOMER <br />AMOUNT DUE CUSTOMER <br />AMOUNT REMITTED REV CUSTOMER <br />REFERENCE <br /> <br />RVFJ,.~444-A00....:~~,. <br />~44a7,0 <br />22 <br /><:: »:: <br />;~0,$]:5 7~ ; <br />2307`0 CON:::: <br /> ~~~Q~~~~~~~~. <br />;:_ . <br /> ~ ~ ~ <br />~ <br /> FR ~ YOUR STA E ~'REASU Y UBiT <br />AMOUNT DUE <br />734-1150AQ1-881 <br />