New Search
City of Eugene I , ~~•d5 <br /> Planning & Development Department ~ D ~ - 7 S <br /> Building & Permit Services <br /> 99 W. IOth Avemte b pQ ~ ~onds ~ /a / <br /> Eugene, OR 97401 / Q <br /> Customer Information: Billing Information: <br /> l~eu~' - PGV ~,-1 ~ n I z-3o - <br /> Customer Name/Comparry Date <br /> ~ P.e~c~P S/- <br /> Address <br /> Purchase Order Number (non-City departments) <br /> ~Ne D~ q7~0~ /~-cctCod~ 32l -g335-~}ss~~ Z Gc~-,~~o~tt <br /> Crty, State, Zrp City Job Number or Account Code ~L~ <br /> g <br /> Customer Telephone ~ I ~ 1 ~3~ - q 5-S ! r Z (Q t ~vZ <br /> Department to be Billed <br /> <br /> Contact Name <br /> Quantity Description of Service PIC Revenue Code amount <br /> ~ ~ rtS i ~ ~ 3s <br /> Total Due <br /> <br />