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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:/NVWW.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 /> 125072192 <br /> OREGON WATERSHED ENHANCEMENT BOARD (503) 986-0924 <br /> INVOICE NO. INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT AMOUNT <br /> 2018-31-821-16195 691 VI016719 $8,025.50 <br /> oS( 0 C', 2 .3 <br /> C0C # ZoIS — Osy13 <br /> Sys 963 30-1 LitziOc7 - 2,17 DOT _ ''Oct <br /> kvNr> .10e7 7.1/` <br /> 12e J BeilitZ.r (.4--C TI vl T- 1 <br /> VENDOR NAME ISSUE DATE WARRANT AMOUNT <br /> 05/15/18 $8,025.50 <br /> CITY OF EUGENE <br /> FOLD ON PERFORATION LINE BELOW II BEFORE DETACHING. <br /> '717-:.-STATE TATE-TaensuRBi§ntni'aar�col�{.y.:,.,.f. ,n -2— - <br /> -0 OREGON <br /> 503-g86-09 a <br /> PAYABLE THROUGH US BANK 96-10 WARRANT NO. <br /> OREGON WATERSHEEDD EN CEMENT BOARD 1232 .h ; 125072192 <br /> 725 SUMMER T. NE, SUI A CHECK DATE <br /> SALEM 97301-1271 <br /> t 05/15/18N.'µ <br /> ® > PAY THIS AMOUNT <br /> •,-y. <br /> $8025.50 <br /> 1 EIGHT THOUSAND TWENTY FIVE AND 50/100 DOLLARS <br /> PAY TO THE ORDER OF: <br /> VOID 2 YEARS A ER DATE ISSUED <br /> CITY OF EUGENE <br /> 1820 ROOSEVELT BLVD <br /> a �c <br /> EUGENE OR 97402- — — s -iiGNAnRE <br /> - -L ��.: - .. w,x u:.a v�A.. -:YPfRAI(dCpFSmm11�HI�yj�LY.fF7l�SIP�iE� <br /> Ile <br />