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Oregon Department, of Transportation <br /> n ~ ~ ~ C PAGE N0. 1 <br /> v ` SEEING DATE <br /> 12/04/07 19:10 <br /> (COUNT NO. <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. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO. REVENUE ABENCV CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RV:FJ.~57~. 000 D). 844a1Q 22 C-,~,'~~,z37. ~ ~1~ ~ 2098 SON <br /> RVFI'544~ .~4i1.. .:a~_; _ .844;x10_ ;~2 -'~~Zt ).,75$.84. ~ 2370 SON <br /> , <br /> u v <br /> ~ g~~ ~ :~r <br /> ~6~6~ 59~~~. ia~~e~~.bk3@ D"1 tRii <br /> <br /> I - <br /> AMOUNT DUE ~4>~< <br /> 734-1158AC31-867 <br /> <br />