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Oregon Department of Transportation <br /> N ~ ~ C PAGE N0. 1 <br /> t V v ` BILLING DATE <br /> 10/02/07 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 /> UST-CITY OF EUGENE PUBLIC WORKS <br /> ~LGIP ACCOUNT #4909-TAMMY SMITH i FOR INFORMATION CONCERNING <br /> ;858 PEARL 4TH FLOOR ~ THIS INVOICE CALL: <br /> EUGENE OR 97440 ~ (503)986-3879 <br /> AGENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF154~9-ODD' Oi 844'010 >22 7; 061.91 >',23070 -'CON <br /> ~ e. : <br /> x ' ~ r ~~i~~~. <br /> i. <br /> AMOUNT DUE <br /> <br /> `734-1150AQ3-88) <br /> <br />