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egonDepartmentofTransportation ' ~ ~ <br /> Y ® ~ ~ ~ M PAGE N0. 1 <br /> BILLING PATE <br /> 05/02/06 19:45 <br /> ACCOUNT NO. <br /> SEf 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 NO./SUFFIX UNIT <br /> 73 350 52418 -00 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF17235-000 0i 844010 21 F.~c'~4u~? 121:56 Q %~N~'z~~. 21.726 PE <br /> RVFi7543-000 ' 01 844010 23 L=~~'~`"?u"j 2.77 C-,~N 22117 - PE <br /> r <br /> - ~~~~~9 ~ ~ ~~b)~~ ~ax>s~r . E"~^~c e Vie. n tiap„34~~& <br /> AMOUNT DUE $i .33 <br /> <br /> 734-115oA(11-8E) <br /> . <br /> <br />