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Oregon DepartmentolTransportation ~'1 .J ~ ~V.J <br /> ' n ' ` / O ~ ~ C PAGE N0. 1 - <br /> i v V G BILLING DATE <br /> //JJ 04/02/02 19:44 <br /> EPORT ND. <br /> FMBL824-1 <br /> <br /> ~rrr <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 FDR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> AGENCV T/C CUkR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> AGENCY <br /> REVENUE CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE 50uRCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF10733-000 O1 844010 22 148.85 14248-CON-E <br /> RVF12770-000 O1 844010 22 9,015.20 • 17314 - CON <br /> RVF13016-000 O1 844010 21 157.79 ~ 17483 - PE <br /> amount has be n raven <br /> from your cash Adva c Deposit. <br /> AMOUNT DUE , ! 9'g <br /> ]3w 115 ~p(11-8C) <br /> <br />