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JUN ~ ~ 2006 <br /> SPRINGFIELD <br /> ~ ~ ~ ~ ~ <br /> PUBLIC WORKS DEPARTMENT 225 FIFTH STREET <br /> ADMINISTRATION MAINTENANCE DIVISION SPRINGFIELD, OR 97477 <br /> ENGINEERING DIVISION TRANSPORTATION DIVISION <br /> ENVIRONMENTAL SERV/GES DIVISION TECHNICAL SERVICES DIVISION www.ci.springfield.or.us/dept pw.htm <br /> www. ci.springfield. or. us <br /> STATEMENT <br /> INVOICE NO. P30443 - 5 <br /> Judt:ins Point Interchange North <br /> City of Eugene ~ <br /> ,~~21 V ~ ~ June 7, 2006 <br /> 244 East Broadway ,}~~CV <br /> Eugene, OR 97401 <br /> A <br /> Request for Reimbursement of City Costs for: $163.47 <br /> Judkins Point Interchange North; P30443 <br /> City Staff- Engineering Staff Time/Inspection: $667.37 <br /> Testing: $0.00 . <br /> Costs. through March 31, 2006 _ $667.37 <br /> Less Payment dated 07/27/05 ($193.63) <br /> Less Payment datedA8/24/05 ($104.23) <br /> Less Payment dated 01/05/06 ($109.46) <br /> Less Payment dated 01/05/06 ($96.8) <br /> Amount Due: ~ <br /> Flouts b G - -o(, <br /> To:7cr~ N~ <br /> Job Na. <br /> CoMr No. <br /> Dlease remit by June 3D, 2000 Assessable? YE3 ar N('~ <br /> Thank you. I approve this <br /> SiOnat~~t~a ~tg: <br /> For questions regarding this invoice, please contact Terri at 72b=3"628'- <br /> To ensure proper credit, please n:ail a copy of this invoice with your check to: <br /> City of <br /> Sprin~eld <br /> Engineering Division, Attention Terri White <br /> Total' $163.47 <br /> 15 RCVD~ <br /> 5-14-06 AQ'7 ~ V r~\ <br /> 0 <br /> <br /> ADMINISTRATION /TECHNICAL SERVICES /ENGINEERING: (541) 726-3753 FAX (541) 736-1021 <br /> MAINTENANCE: (541) 726-3761 FAX (541) 726-3621 TRANSPORTATION: (541) 726-3753 FAX (541) 726-3781 <br /> ENVIRONMENTAL SERVICES: (541) 726-3694 FAX (541) 726-2309 <br /> <br />