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bregianDe~aRmentofTransporfation <br /> ~,1 V ~ ~ r ~ PAGE N0. 1 <br /> VV ILLING GATE <br /> 05/07/02 19:37 <br /> ' EPORT NO. <br /> FMBL824-1 <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 /> I i ' <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> REVENUE asENCY CUSTOMER CUSTOME:'R CUSTOMER <br /> ACCOUNT SOURCE SOURCE AMOUNT DUE ANDUNT REMITTED REV REFERENCE <br /> RVF10733-001):: `'O1 844010 22 , , ::,198.85. - - <br /> RVF10734:-0,00 O1. 84.4010.: 23 83:80: _ <br /> 14 <br /> 248 CQN L:.. <br /> FtVF12.770.=000 ; O1 844010 22 . <br /> :425:1;7.: i 1.731.4, . = COtJ <br /> RVF13016-U00 O1 844010 21 59.30 0 17483 - PE <br /> ~-1us $~ount gas. ee _rav~r~ : <br /> from your cash Ad an e~Deposit. <br /> Route D to S / <br /> . <br /> qtr 110:. ` <br /> , . 0 <br /> AsSASS . ? <br /> I ap is or p~7...=" <br /> Si~l~atlNe .t® ~ Cc~ /7 ..i~~ <br /> . <br /> . <br /> AMOUNT DUE ~~a <br /> <br /> ~sanau<u-aai <br /> <br />