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Oregon E7epartm, ent of Transportation <br /> ~ ~ ~ PAGE N0. 1 <br /> ILIING DATE <br /> 12/05/06 19:18 <br /> CCOUNT 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 /> -858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVFi7543-000' -01 844010 2i 6,:04 ~ 22117'- PE' <br /> RVF7:7756-004'. O1_ 844410.. 23 8.92 ~ 22281 -'PE <br /> RVF17617-000 0i' 844010 2i 6.10 ~ 23076 - PE <br /> ~~3'a UGp ~ V-a y~ <br /> Et J <br /> AMOUNT DUE $2~-.', <br /> <br /> 736-1350AC 11-88) <br /> <br />