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Oregon Deparhnent of Transpwtatron <br /> ~1 ~O ~ ~ ~ PA6E N0. 1 <br /> 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 /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> rEUGENE, 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 ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE A6fl'~9 CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF24825-D00 -01 844D30 22 394.23 17483 - CON <br /> RUFi7235-D00 O1- 844010 2i 4:92 21726 PE <br /> ~n ~ ~~~ot~ <br /> AMOUNT DUE $39 5 ~ ~ ~ ~ <br /> <br /> 734-1158A(11-88) <br /> <br />