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Oregon Department o/ Transportation <br /> ~O ~ ~ ~ PAGE N0. 1 <br /> ILLING GATE <br /> ~ <br /> 05/04/04 20;34 <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 /> 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 /> NCY T/C CURR. DOC. DDC. DATE VENDDR ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT N O . REVENUE ~CENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNt REMITTED REFERENCE <br /> RVF14128-000 O1 844010 22 1,000.94 14248-CON-E <br /> RVF10734-000 O1 844010 23 0.00 14248-CON-L <br /> RVF13016-000 O1 844010 2i 3,075.83 1.7483 - PE <br /> AMOUNT DUE <br /> $4,~7b.?~ <br /> <br /> psi-sssR~css-aa~ <br /> <br />