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_ <br /> OregortDe~artmenrofTransponation <br /> PAGE N0. 1 <br /> ' ~ vO ~ C E ILLING DATE <br /> 10/04/05 19:43 <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 <br /> `GRANT ACCT PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> X858 PEARL STREET i THIS INVOICE CALL: <br /> EUGENE OR 97401 ' (503)986-3879 <br /> <br /> i <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . ~6E"CY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT OUE AMOUNT REMITTED REFERENCE <br /> RVF14825-000 ' Di 844010 >22 j~3y -~-8~:-42 ~ ~%~f/~ ~ 17483 - CON <br /> RVFi7235-000 O1 844010 21 4.92 21726 PE> <br /> AMOUNT DUE $5i 34 ~ <br /> . <br /> 734-115RA(11-SS) <br /> <br />