Oregon Department of Transportation <br /> PAGE N0. 1 <br /> ~ ~ E BILLING DATE <br /> 01/03/06 19:44 <br /> ACCOUNT NO. . <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YDUR 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 CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AOERCY 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 ~ 21726 PE_ <br /> ,i ®u~t ~ ~ drawn <br /> ~r~ ~®u~~~~ ~ dv ri~~~ep~~~~~ <br /> AMOUNT DUE $4i . S3 ~ C~ f , oC.~ <br /> <br /> 734-1150A(13-58> <br /> <br />