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i • i <br />Remit To <br />Customer: <br />Prepared by: <br />i <br />Servicing Dept: <br />1 <br />COUNTY PUBLIC WORKS <br />North Delta Highway <br />>le, OR 97408-1696 <br />~ ~' <br />~ ,~~ ~ ~ ~~ <br />e llL.-"tom ~ Z~ .1 S <br />~~~~ . <br />Invoice: PW00752 <br />Date: 5/21 /03 <br />Lane <br />co~l~ty <br />s--- s~~~ <br />i'ublic Works <br />ant Terms: Due Immediately <br />Phone: 541/682-6916 <br />~~~ ~ <br />~ \L ~~ GU>. ~, ~ L4ccount Qtv Cost Amount <br />ATER C.~~ ~ <br />diver ~ __...~~ .ease 1 (4079) 225 3632010 466662 370.31 <br />I <br />_ I _ _.. - <br />--f2oute Date ~ 6 <br />7~0; i ~ <br />Job N . <br />Contt o. <br />Aa,t~e ment7 YES cx NO <br />~ ~PPra a this for psayrnent. <br />0 2 ~?' ~v <br />~® <br />~ ECV ~ <br />ATE ~ to <br />INITIALT_, <br />06-05-03A11~43 RCVD <br />~ ', <br />Total Due: x370.31 <br />~~ <br />J~ <br />b~.~~ ~°~ `h`o3 <br />q~ <br />DEPARTMENT OF PUBLIC WORKS DEPARTMENT • 3040 NORTH DELTA HIGHWAY • EUGENE, OREGON 97408-1696.541/682-6900 • FAX 541/682-8501 <br />aHwnv.lanecounty.org/pw t~~1 30% Post-Consumer Content <br />