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SPRINGFIELD <br /> ~ ~ <br /> <br /> PUBLIC WORKS DEPARTMENT 225 FIFTH STREET <br /> ADMINISTRATION SPRINGFIELD, OR 97477 <br /> ENGINEERING <br /> MAINTENANCE <br /> ENVIRONMENTAL SERVICES JUL 0 6 2005 <br /> STATEMENT <br /> INVOICE NO. P30443 - 1 <br /> Judkins Point Interchange North <br /> City of Eugene July 5, 2005 <br /> 244 East Broadway ; _ ~ _ , <br /> Eugene, OR 97401 <br /> Request for Reimbursement of City Costs for: $193.63 <br /> Judkins Point Interchange North; P30443 <br /> City Staff- Engineering Staff Time/Inspection: $193.63 <br /> Testing: $0.00 <br /> Costs through May 31, 2005 $193.63 <br /> Add,rGss <br /> ~oc.~-n~ ~ <br /> Amount Due: <br /> 70: ~oNN ~ Rou~~ - 8-d,1- <br /> Job~~go9/ <br /> Contr No. ZooG _a° - <br /> Grease remit by.ilur~ ts, Asses~aule? Y~~~or~ <br /> ThanKyou, j apPro~' t ~ fior ~t - , ,riy <br /> . <br /> For questions regarding this invoice, please contact Terri at 726-3628 ~y' " ` ~ ` ~ <br /> To ensure proper credit, please mail a copy of this invoice with your check to: <br /> City ojSprin~eld <br /> Engineering Division, Attention Terri White <br /> Total ~ $193.63 <br /> ~''~z, ~v~b~ b ~Zlo <br /> Y# ~ ~_~._o o..o o_~~ ~ 5 3 S <br /> ADMINISTRATION/ENGINEERING (541) 726-3753 FAX (541) 726-3689 ~.R <br /> MAINTENANCE (541) 726-376 i FAX (541) 726-3621 <br /> ENVIRONMENTAL SERVICES (541) 726-3694 FAX (541) 726-2309 <br /> <br />