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7Joregon Department of Transportation <br /> FISCAL YEAR REMITTANCE ADVICE <br /> 17 CHECK NO = 02735063 PAGE 1 OF 1 <br /> INV/CM DATE INV/CREDIT MEMO NO NET AMOUNT DESCRIPTION <br /> 03/31/17 PK46484 77.00 EXCESS TTL FEE/U205135 <br /> FOR QUESTIONS ON THE PRECEDING INVOICE(S) CALL VEHICLE PROCESSING FOUR, 503-945-7996 <br /> TOTAL PAYMENT <br /> FOLD ON PERFORATION LINE BELOW 5 BEFORE DETACHING. $77.00 <br /> 0.1.**4 Oregon Department of TransportationTD THE STATE TREASURER 96 10 02735063 <br /> >t '� 7r <br /> SALEM OREGON 97301 <br /> �..e,-,y t, A M FINANCIAL SERVICES MS #21 1232 <br /> *- PAYABLE THROUGH US BANK <br /> 355 CAPITOL STREET NE <br /> `kms® SALEM OREGON 97301-3871 ODOT DATE 03/31/17 <br /> r.i.e>/ 503-986-3900 <br /> AMOUNT IN US DOLLARS <br /> ACCOUNT 73105 $77.00 <br /> PAY SEVENTY SEVEN AND 00/100 DOLLARS <br /> PAY TO THE CITY OF EUGENE V010 AFTER 2 YEARS FROM DATE OF ISSUE <br /> ORDER CF 1820 ROOSEVELT BLVD n/,� <br /> EUGENE OR 97402 L/0`'�-� <br /> AUTHORIZED SIGNATURE_ <br />