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- - _ <br /> Oregat Department of Transportation <br /> - PAGE N0. 1 <br /> I ~ ~O ~ C E ~ ILLING DATE <br /> 11/01/05 19:58 <br /> - CCOUNT NO. <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 E <br /> !GRANT ACCT PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> X858 PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3874 <br /> GENCY TlC CORR. DOC. DDC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SWRCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF14825-000' OT 844:010 22 394.23 174$3 - CON <br /> RUFi7235-000` O1 844010 21 4.92 >s21726 PE <br /> AMOUNT DUE <br /> $399. 15 < <br /> <br /> 734-1158(11-88) <br /> <br />