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Oregon Department of Transportation <br /> 7 ~ ~ 1 ~1 ~O' ~ ~ PAGE N0. 1 <br /> ILLINO DATE <br /> 06/03/03 19:55 <br /> CCOUNT N0. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN ~ FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> EUGENE OR 97440 I (503)986-3879 <br /> - <br /> OENCV T/C CURR. DOG. DOG. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF1:3472 Oa0 Ol,; 844,OI0 ;22 8.,432:38 _ '>:.37698 -:::CON <br /> . <br /> AMOU <br /> NT U <br /> D E <br /> . <br /> <br /> 754-115RA(11-8DI <br /> <br />