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Oregon Departmerst otTransportati0n <br /> I ~ ~O ' ~ ~ PAGE N0. 1 <br /> 11/06/07 19:28 <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 /> j OST-CITY OF EUGENE^PUBLIC WORKS <br /> LGIP ACCOUNT #4909-TAMMY SMITH FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR i THIS INVOICE CALL: <br /> EUGENE OR 97440 ~ (503)986-3879 <br /> I <br /> L - <br /> GENCV T/C CURR. DOG. DOG. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> fVF15571-000 0'], 84407.Q 22 , 326,b78.I2 ;~~r3~' yz3'~' 204.58 - CON <br /> RVF15449-000 07, 844II10 22 4,984,60 R'~~6 ~ yZ 23070 : - CON <br /> `THE ~ . A~" j~';~~~ ~~E Wt f~~RAWN <br /> ~~~gL~ Sih~E TR~ASUR A UNT <br /> AMOUNT DUE - <br /> <br /> ~saussAnl-aa~ <br /> <br />