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Oregon Department of Transportation <br /> N Vfl I C E PAGE N0. 1 <br /> ILLING DATE <br /> 02/05/08 18:59 <br /> <br /> '1 (COUNT 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 /> <br /> ~ GENCV 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 /> RVF15449 Oaf :...01. _ 844:1110 <br /> ;~2 i6±{~~ 2307 GON <br /> g~~~~~~. <br /> ff <br /> . < 5~~..,. <br /> AMOUNT DUE ~ <br /> 734-1150A(11-88) <br /> <br />