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Oregon Departmentof Transportation ~ <br /> ' ~ ~O ~ ~ ~ .y6 PAGE N0. 1 <br /> IILING DATE <br /> 03/07/06 19:35 <br /> (COUNT 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 DEBBIE CLARK FOR INFORMATION CONCERNING <br /> -858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52418 -00 9901 <br /> ACCOUNT NO . REVENUE ;OENC9 CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE ANOUNi REMITTED REFERENCE <br /> RVF37235-000 -O1 844010 21 58:71 ~ 217.26 --'PE <br /> AMOUNT DUE ` <br /> $5 .7i <br /> a <br /> <br /> 734-1150;C31-88) <br /> <br />