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Oregon De~artmentofTransportation ~ vt~ G G 5 <br /> II r ` / 0 I~ C PAGE N0. 1 <br /> 7 ~ ' v V ` BILLING DATE <br /> 03/05/02 19:40 <br /> EPORT N0. <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 /> G NCy /C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> AGENCY <br /> ACCOUNT REVENUE CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> !RVF10733-000 O1 844010 22 176.75 14248-CON-E <br /> RVF12770-000 01 844010 22 1,358.15 * 17314 - CON <br /> 'RVF13016-000 O1 844010 21 9.42 ~ 17483 - PE <br /> i~ amocrnt has ~ en .yawn <br /> from your cash Adv nc -Deposit. <br /> AMOUNT DUE $~Z-' /7,75' <br /> <br /> 734-11501c 11-80) <br /> <br />