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OregonDepartmeniofTransportatlon <br /> PAGE NQ. 1 <br /> ~ ~ ~ ~ ~j ~ ILLING DATE <br /> 05/02/06 19:45 <br /> ACCOUNT 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 47301-3872 <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 CUkR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT N O . REVENUE A6ENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE souRCE AMOUNT DUE AMOUNT REMITTED REFEkENCE <br /> <br /> i -RVF17235-000 01 84.4010 21' 121.56 217.26 PE <br /> RVF17543-000 O1 844010 21 2.77 ~ 2211Z'= PE <br /> AMOUNT DUE $i2 3 <br /> ~ac-usawcil-ss~ <br /> <br />