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Oregon Department of Transportation <br /> I ~ V~ ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 12/31/07 19:32 <br /> ACCOUNT 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 /> EUGENE, CITY OF <br /> GRANT ACCT TAMMY SMITH FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> AGENCV T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> <br /> I RVFi5~56 O.Q'0 Oi 8~4.a10 22 s :~l -4:4" ' 22117:, - GON <br /> 22283,. GON <br /> RVF15563-000 0$ 844a1fl 22 3,304;33. <br /> ; <br /> RUF3.$027 000:: 03 844:x10...:.; ~7... 37. 2a 23423"'...:PE <br /> <br /> I <br /> ,i <br /> ~tir€~ 4ag~. _ ~ <br /> ~ ~ <br /> <br /> I <br /> ~ :a~. ~ SFr <br /> MOUNT <br /> A DUE <br /> 734-1150AC11-88) <br /> <br />