_ <br /> AD - 01 ADVANCE DEPOSIT REFUND PAYMENT REMIT <br /> AGENCY 73 TC 320 <br /> i <br /> DOC. NO: RWB 18801 INVIDOC-DATE 05119108 <br /> i <br /> EFFECTIVE DATE 05119108 ~I~ <br /> VENDOR NO: 936002160-00 INVOICE NO REFUND <br /> VENDOR NAME: CITY OF EUGENE <br /> 86 PHA <br /> EUGENE OR 97401 <br /> REMIT ADVICE TO REFUND BALANCE OF ADVANCE DEPOSIT <br /> UNIT EXPEND ACCOUNT SUBJOB SOURCE AGCYSRC AMOUNT <br /> 9901 87208224 AD1 596000 $1,000.00 ~I <br /> i <br /> <br /> TOTAL REFUND 1 000.00 <br /> PREPARED BY: TTIE LA~S~ DATE: 19 08 <br /> <br /> APPROVED BY: DATE: 4 <br /> PLEASE RETURN WARRANT TO: <br /> REASON FOR PAYMENT REFUND BALANCE OF ADVANCE DEPOSIT AT PROJECT <br /> CL08 BALANCE OF YOUR CK N0.420TS8, DATED <br /> OS/17/08, FOR HYDRAULIC REVIEW ON PERMIT 05M38$08 <br /> H 001 MP 192. GJN4234 2006 19 86 <br /> i <br /> Z~ ~~sk ~i a ~ <br /> ~u.~~P - Gv z ~ <br /> <br />