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' Gregor•Aepartm~ntofTranspatation <br /> O ' ~ C PAGE N0. 1 <br /> 1 ~ c ILLS NG DATE <br /> <br /> ~ 08/07/07 19:15 <br /> CCOUNT 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 /> GENCV T/C CURR. DOG. DOG. DATE VENDOR N0./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 /> _:RVF15449-oflo o~ 84407;0 ~2 50,81.72 _ 23x70 - CON <br /> .INF~R~IA <br /> ~~NBEE V~~I FlDRAWN <br /> THE 01IE ANlOUl~ <br /> FR M YOUR STATE TREASU Y UNT <br /> ~ <br /> AMOUNT DUE <br /> 734-1158A(11-88) <br /> <br />