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STATE OF OREGON REMITTANCE ADVICE <br /> P FOR DIRECT DEPOSIT PAYMENT SERVICE AND RECEIVE CONVENIENT,ELECTRO <br /> LOG IN TO HTTP://VVWW.OREGON.GOV/DAS/EGS/FBS/SFMS/PAGES/ACH.ASPX O� <br /> CLICK ON FORMS AND BROCHURES. THEN SELECT DIRECT DEPOSIT (ACH) <br /> ATION FORM. <br /> WAR <br /> 12( <br /> (503) 986-5600 <br /> INVOICE DATE INVOICE DESCRIPTION AGY DOCUMENT <br /> 113021 JUROR ATTENDANCE EXPENSE 198 VI369565 <br /> 113021 MILEAGE 198 VI369565 <br /> 04,ppor*. Vh° -120.71 A2421 <br /> eY � z z <br /> ISSUE DATE WARRANT <br /> 11/30/21 <br /> - FOLD ON PEt FO.Z_, 1 1 E HELCAi y, BEFOid. <br /> 1EGON TO THE STATE TREASURER SALEM,OREGON <br /> PAYABLE THROUGH US BANK 96-10 F WARF <br /> 1 939 i n� <br />