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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:// WWW.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 /> ' r ‘Y WARRANT NO. <br /> \, 126074672 <br /> :GOON DEPT OF FISH AND WILDLIFE (503) 947-6186 <br /> )ICE NO. INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT AMOUNT <br /> —8 I 020521 MEMBERSHIP/RIVERS TO RIDGES PARTNERSHIP 635 VP112092 $400.00 <br /> JDOR NAME ISSUE DATE WARRANT AMOUNT <br /> 06/21/21 $400.00 <br /> Y OF EUGENE <br /> _ �_� _y._. __._ _..__ <br /> STATE..OF OREGON TO THE STATE TREASURER SALEM,OREGON <br /> 503-947-6186 PAYABLE THROUGH US BANK 96-10 �pF p WARRANT NO. <br /> OREGON DEPT OF FISH AND WILDLIFE 1232 �/ ` .� 126074672 <br /> 4034 FAIRVIEW INDUSTRIAL DRIVE SE Q cru"'� \�' <br /> CHECK DATE IF•II tur.n".' <br /> SALEM OR 97302 06/21/21 ` <br /> 6 / PAY THIS AMOUNT <br /> $400.00 <br /> FOUR HUNDRED AND 00/100 DOLLARS <br /> PAY TO THE ORDER OF: <br /> VOID 2 YEARS A TER DATE ISSUED <br /> CITY OF EUGENE <br /> PARKS AND OPEN SPACE DIVISION <br /> ATTN AMY MEEKER <br /> 1820 ROOSEVELT BLVD <br /> EUGENE OR 97402 AUTH RIZED SIGNATURE <br />