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<br /> a tDreg~on Department o/Transportation <br /> f "O ~ ~ C PAGE N0. 1 <br /> 7 C- ' V V L BILLING DATE <br /> 04/03/01 19:59 <br /> REPORT 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 JENNY LYNNES FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3956 <br /> tlEN V T/C CURR. DOC. 'DOC. DATE VENDCR N0./SUFFIX UNIT <br /> T3 350 52918 -00 9901 <br /> R6ENCV <br /> ' REVENUE CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT SOURCE SouRCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF10653-000 O1 844010 23 47.13 14248-RW <br /> r---_._---._..- - ~ <br /> i To: <br /> i Job No. <br /> contr No. <br /> Assessmen YES or.Al~ <br /> i ap for o nt. <br /> Spa^at+~re D <br /> X iY i <br /> ~ ~ ~ ~ <br /> Y <br /> LATE o~ ~U° <br /> INITIAL <br /> 4 ZQOI <br /> i <br /> -o <br /> ~~2 ~ ~-,c G~~C Op`~5 <br /> AMOUNT DUE $47..13 <br /> 75~•ii5GAC11-t3> <br /> <br />