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Oregwn Departmer?f of Transportation <br /> _ PAGE N0. i <br /> ¦ - ~O ~ ~ ~ ILLING DATE <br /> 12/06/05 19:48 <br /> (COUNT N0. <br /> SEE BELOW <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> <br /> 1 <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 i FOR INFORMATION CONCERNING <br /> 858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CURR. DOC. DDC. DATE VENDOR N0./SUFFIX - UNIT <br /> 73 350' 52918 -00 9901 <br /> ACCOUNT NO . R~~E A6ERCY CUSTOMER CUSTOMER REY CUSTOMER <br /> SOURCE SOURCE AMDUNT DUE AMOUNT REMITTED REFERENCE <br /> RUF34825-D00 Di 844010 22 394.23 17483 - CON <br /> RUFi7235-000 Oi 844010 21 4.92 q, 21726 PE <br /> - C~~W ~{.z z v <br /> ~ ~~~ep~~i~~ <br /> AMOUNT DUE $3 , .15 . ~ <br /> 734-1150A(11-88) - <br /> <br />