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Oregon Department of Transportation <br /> N VO I ~ E PAGE N0. 1 <br /> BILLING DATE <br /> 09/04/07 19:08 <br /> ACCOUNT NO. <br /> i <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 /> i <br /> i <br /> I <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVENUE R6ENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> R.VF15449 OO }:...:fll 844D1fl .22 i4s342.9:7 230:70. `<CON <br /> E <br /> <br /> i <br /> t , , , <br /> _ <br /> AMOUNT DUE <br /> 734-1150R(11-86) <br /> <br />