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STATE OF OREGON REMITTANCE ADVICE <br /> TO SIGN UP FOR DIRECT DEPOSIT PAYMENT SERVICE AND RECEIVE CONVENIENT,ELECTRONIC <br /> PAYMENTS, LOG IN TO HTTP://WWW.OREGON.GOV/DAS/EGS/FBS/SFMS/PAGES/ACH.ASPX ON THE <br /> INTERNET. CLICK ON FORMS AND BROCHURES. THEN SELECT DIRECT DEPOSIT (ACH) <br /> AUTHORIZATION FORM. <br /> WARRANT NO. <br /> 124728537 <br /> JUDICIAL DEPT (503) 986-5600 <br /> INVOICE NO. INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT AMOUNT <br /> LANE COUNTY JU 052517 JUROR ATTENDANCE EXPENSE 198 VI054281 <br /> LANE COUNTY JU 052517 MILEAGE 198 VI054281 Q$1157.8°0°7 <br /> 55-c/ (035 - Lt7ggb <br /> VENDOR NAME ISSUE DATE WARRANT AMOUNT <br /> 05/25/17 $10.80 <br /> SHRIRO,THEODORE GRAHAM <br /> FOLD ON PERFORATION LINE BELOW II BEFORE DETACHING. <br />