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X ~w~ <br />' 1 <br />~~ <br />Invoice #: 20514 <br />`l~~kn'e Council of Governments <br />99 East Broadway, Suite 400, Eugene, Oregon, 97401-3111 <br />Phone: (541) 682-4283 Fax: (541) 682-4099 TTY.• (541) 682-4567 <br />10/22/2004 <br />Sarah Maddux <br />EUGENE, PUBLIC WORKS ENGINEERING (PEARL) <br />858 PEARL ST <br />EUGENE, OR 97401 <br />Contract: Eug PW Hrng Off <br />Invoice Period: Jul 2004 -Sep 2004 <br />Vendor Information: 2003-00204 <br />To: _ ~~~. ~ lax <br />Job No. <br />Contr No. --r-~--~- <br />Assessme ~ YE r NO <br />app this for aymertt. <br />Signature ate ._~~ -?-Z. °~ <br />7'b' ~?CX--_r -- <br />~~rtlr N~: <br />a~~~~sffr~~~ ~~ ~ w~ <br />~~~~~+~ ~~i§ ~~~ ~~fflA~; <br />5i~~~l~~t~ ~E~~~ ~ - <br /> <br />~~~~~~ <br />Amount Due: $1,487.11 <br />~i2~~ <br />~~ <br />~. <br />~~ ~ <br />,~~ .,~ <br />~~.~®~~• <br />Flouts Date 11 ~ <br />To: <br />Job No. <br />Corm No. ?~- -~~4` <br />assessable ? YES or NO <br />i approve this for paymers. <br />I ss~ture Date: <br />Please make checks payable to: LANE COUNCIL OF GOVERNMENTS <br />Please reference LCOG invoice number on check. Payment Due Upon Receipt. <br />,~ ~, ~~ LCOG -COPY <br />~' `.~' 11-J4-J4P12~J3 RCVD <br />Budget: 05-HearOff-LocalRevenue-Eug PW Hrng Off-- 030034 <br />Printed On 10/26/2004 2:13:48 P C:\Program Files\Fiscal Reports\FisRept.mde -- r InvoicePrint_Vw Page 1 of 1 <br />