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crayon Depart?:tent of Transporfattott <br /> i ~ ~ PAGE H0. 1 <br /> 7 1 SEEING DATE <br /> 06/05/07 19:15 <br /> CCOUNT 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 /> GENCV T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> <br /> ( ;R 7, Q:.:. Ol>' $~4a1.4 21. ;.184;:58.-::..~"i. 22II - ; . <br /> <RVF17271 Q4t~::. Ol $44Q3.Q. ? 21....: 97158 22213 --;`PE <br /> Rd~1778Cx OQQ~.. ; : 844II l a::. 23. ; ; 384-:-rs8-- :.p ~ ~ ` 2228).x. ,RE <br /> RVFI5449-000 O1 844010 22 p~~ 0-8~0-• 23070 - CON <br /> AMOUNT DUE bra ~ f <br /> 734-1150AC11-88) <br /> <br />