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Onegor?Dpparbn3nt of Transpoiratron <br /> _ I ~ ~O ' ~ ~ PAGE N0. 1 <br /> ` ~.P <br /> ILLING DAT <br /> 06/01/04 21:14 <br /> CCOUNT N0. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE TO: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> EUGENE, CITY OF <br /> GRANT ACCT PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFI% UNIT <br /> 73 350 52918 -00 9901 <br /> REVENUE CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE sowrCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF14128-000 O1 844010 22 y7~,7j i-.,-088-9 • ,2~,~3 14248-CON-E <br /> RVF10734-000 Ol 844010 23 ~0.~88- O ~ ~z,a3~ 14248-CON-L <br /> RVF13016-000 D1 844010 21 3,149.79 17483 - PE <br /> ~'~"~o~s ~~pur~~ ~a~ p~ dr~wr~ <br /> /a <br /> AMOUNT bUE $4s ' .73 i~~ ~,s` <br /> <br /> 71G-11501(11-88) <br /> <br />