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Oregon Dep, rtment of Transportation <br /> ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 05/06/08 19:34 <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 /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-TAMMY SMITH FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> GENCY T/C CURR. DOG. DOG. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> ;RI(F`~.5~7.~,~000'?. t?~ : 844t11~ ~2 60 <br /> `<397.OG <br /> 2~9~8 : ~ SON:::; <br /> THE t~~ A~t~C~~~~p~~ ~~p f~ <br /> ~ 5~ ~:A ~ ~ CST <br /> AMOUNT DUE ."t3';: <br /> <br /> 734-1158A(11-88) <br /> <br />