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. Or~egc~~ fh~oa?trnent~Traiupottation <br /> ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 06/29/07 19:30 <br /> GCOUNT 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 /> EUGENE, CITY OF <br /> GRANT ACCT TAMMY SMITH FOR. INFORMATION CONCERNING <br /> I 858 PEARL STREET THIS. INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> i <br /> GENCY T/C CURR. DOG. DOG. DATE VENDOR N0./SUFFIX UNIT <br /> <br /> 'j 73 350 52918 -00 9901 <br /> REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO • SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF1528:4 000>.` O1. 844lY10. . ``22. '~1 &;5.. a. ` > 21726 - >C:ON <br /> V ,17543-OOQ 0 4. 10 , 1 5.7~. 22i 17 PE <br /> R ~ ~ . .:.8 .4Q. 2~ <br /> ....RVFk7.75~ OOQ.<. al-. 8~+4a~~. 23`' 4A4.80 ~ 2.2281..;.. PE:'; <br /> RVFI5449-000 O1 844010 22 33,41'L.64 23070 -CON <br /> _ _ <br /> _ <br /> AMOUNT DUE 5 6;~ <br /> 734-1150A(I1-88) <br /> <br />