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Oregon Department of TralxsFortatwn <br /> 1 ~1 ~O ~ ~ ~ PAGE NG. 1 <br /> IILING DATE <br /> 02/07/06 19:17 <br /> CCDUN7 ND. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> <br /> - 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> EUGENE, CITY OF <br /> !GRANT ACCT DEBBIE CLARK FOR INFORMATION CONCERNING <br /> i 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDER ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE A6EMCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> - RVFi4825-A00 -01 844010 22 >39423 17483 - CON<. <br /> RVF17235-000 D1 844010 21 49.68 ~ 217.26 PE <br /> AMOUNT DUE $ <br /> ~ . 91 ~ j ~ = <br /> 734-1150~c11-88) <br /> <br />