TOTAL PAYMENT $212.00 <br /> FOLD ON PERFORATION LINE BELOW Ll BEFORE DETACHING. <br /> 03043299 <br /> Oregon Department of Transportation TO THE STATE TREASURER 96-10 <br /> SALEM OREGON 97301 1232 <br /> FINANCIAL SERVICES MS #21 PAYABLE THROUGH US BANK DATE 01/21/21 <br /> ,,,,., SA M CAPITOL N 730EET NE 7r ODOT <br /> �. SALEM OREGON 97301-3871 <br /> r.! <br /> Ill 503-986-3900 AMOUNT IN US DOLLARS <br /> ACCOUNT 73105 $212.00 <br /> PAY TWO HUNDRED TWELVE AND 00/100 DOLLARS <br /> VOID AFTER 2 YEARS FROM DATE OF ISSUE --� <br /> PORDEROF CITY OF EUGENE <br /> � ORDER OF 1820 ROOSEVELT BLVD <br /> �� EUGENE OR 97402-0000 <br /> s•, <br /> ,, _AUTH.ORIZED SIGNATURE <br /> . . <br /> F`7CRfh11 .6' 1kE'1'3k�t�1t�.:"ifx ''��E'^ai�3�'�'. *, `���-air` <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> Cr f a _;�d fi�, S`M'CaT 4� F .rev ti : <br /> • <br /> �.' , '3t,4,..�.e _ hd <br /> F A �k y� 4: <br /> !. ,. ,1 v'. k 7�� ,s ^' .� Ikd . aa�} krws S:� `�3 ,k', • <br />