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403233
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403233
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Last modified
3/4/2020 1:56:57 PM
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3/4/2020 1:56:54 PM
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rOregon Department of Transportation <br /> FISCAL YEAR REMITTANCE ADVICE <br /> 20 CHECK NO = 02975634 PAGE 1 OF 1 <br /> INV/CM DATE INV/CREDIT MEMO NO NET AMOUNT DESCRIPTION <br /> 02/15/20 R202000011 19,401.00 FUELS TAX REFUND <br /> FOR QUESTIONS ON THE PRECEDING INVOICE(S) CALL FUELS TAX GROUP, 888-753-2525 <br /> DePos1+- <br /> - 94-1l92— lotto to► D — �(r <br /> 2_0 tot DDVT is To.x ke_ N d <br /> FOLD ON PERFORATION LINE BELOW Ti BFFOTOTAL PAYMENT <br /> $19.401 .00 <br />
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