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- _ - ~n <br /> SPRINGFIELD C/ <br /> ~ ~ ~ ~ ~ <br /> <br /> PUBLIC WORKS DEPARTMENT `~•l 225 FIFTH STREET <br /> ADMINISTRATION SPRINGFIELD, OR 97477 <br /> ENGINEERING ~77 Z <br /> MAINTENANCE t ~ ~ ~ _ t>..~_.~,..~...~ - ~ <br /> ENVIRONMENTAL SERVICES - ~ ~ ~ ~ O 4'~ <br /> ' Q .~..Q... . <br /> STATEMENT ~ - <br /> INVOICE NO. P30443 - 2 sr= ~ ~~'r~. _ _ ~ ~ ` <br /> Judkins Point Interchange North <br /> City of Eugene July 28, 2005 <br /> 244 East Broadway <br /> Eugene, OR 97401. <br /> Request for Reimbursement of City Costs for: $104.23 <br /> Judkins Point Interchange North; P30443 <br /> City Staff -Engineering Staff Time/Inspection: $297.86 <br /> Testing: $0.00 <br /> Costs through June 30, 2005 $297.86 <br /> Less Payment dated 07/27/05 ($193.63) <br /> Amount Due: $104.23 <br /> Rt~tti ~ 8- z- s- <br /> To:. ',~6' ~ iv <br /> Job ~ s. O / <br /> Please remit brAustust 18, 2006 COrtlr No. - aa~ ' ~ o z <br /> Thanik You. Arse ~~~~e? YES Or <br /> ~ 1i)~7d'c7' . ~S f p .,r., ilk. <br /> ~ _ <br /> For questions regarding this invoice, please contac i~i~'~Z'6~ ~ -l~s <br /> To ensure proper credit, please mail a copy of this invoice with your check to: <br /> City of Sprin~eld <br /> Engineering Division, Attention Terri White <br /> Total ~ $104.23 <br /> ADMINISTRATION/ENGINEERING (541) 726-3753 FAX (541) 726-3689 <br /> MAINTENANCE (541) 726-3761 FAX (541) 726-3621 <br /> ENVIRONMENTAL SERVICES (541) 726-3694 FAX (541) 726-2309 <br /> <br />