Orogc:n IJepart,TTent of Transportation <br /> PACE NQ. 1 <br /> ILLING DATE <br /> s 09/05/06 19:24 <br /> CCOUNT NO. <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 i <br /> GRANT ACCT TAMMY SMITH ~ FOR INFORMATION CONCERNING <br /> 858 PEARL STREET I (503)986~3879CALL: <br /> EUGENE OR 97401 <br /> I <br /> <br /> I <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> REVENUE A6ENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT N O . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF17?21-~QQ O1 844Q1~' 22 tl.OQ 20958 - CON <br /> RVF15284=0QQ Q1' 844Q1Q 22 956:34 8 21726 - CON <br /> RUFJ,7235-OQQ Ql' 84401Q 21 1.27 ;;g9 21?26 PE <br /> ~r <br /> ro y~~~ -fie <br /> AMOU T <br /> N DUE <br /> . <br /> X34-1158AC 31-88) <br /> <br />