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Ore,~t Department of Transportat/on <br /> N V~ I C E PAGEGNO. 1 <br /> 10/02/01 21:04 <br /> EPORT N0. <br /> <br /> 4 <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 l <br /> GRANT ACCT PEGGY HAMLIN I FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3956 <br /> I <br /> 1 <br /> 6 NCV 7/C CURR. DOG. DOG. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOUECE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF~0733-000 Q1 844010 22 755.,340.54 ~ _ 1.4248-CON-E <br /> iRVF1.2770-00~ 01 84401.0 2Z 48,698.81 ~ 17314 ~ CON <br /> RVF1.30T6-Q00 01 84401.0 2I. 1'7.1.8 11: 1.7483 - PE <br /> ~"'"53~ 933Z ~i73S q~S~~f~f <br /> 139, y53.5~ phis amount has ben raven <br /> from your cash Adv nc Deposit. <br /> gZSb~f~ 3bZ <br /> 3~z q33~ (~~735 ~ <br /> - <br /> .JpD ~ <br /> X <br /> ~ ignatu Qate /l Z 6 <br /> AMOUNT DUE $~'4's ~'~5'3r* ~",'~"~`r. <br /> rs~-usc.cu-ae~ <br /> <br />