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Oregon Department of Transportation <br /> ' ~ ~ V~ ~ ~ ~ PAGE N0. 1 <br /> BILLING DATE <br /> 01/03/06 19:44 <br /> ACCOUNT 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 /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> EUGENE, CITY OF <br /> GRANT ACCT PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CUR°. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE +6EN[v CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF14825-000 O1 844010. 22 394:23 - 17483 - CON <br /> RVF17235-000 O1 844010 21- 17.10 ,eD' 21726 PE <br /> C-,5 rJ <br /> ~°.hi~ hay ~e draw <br /> your ~~~h are ~D~~~~~~. <br /> AMOUNT DUE $41 .33 ~ <br /> <br /> - 734-1150AQ1-88) <br /> <br />