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OregonDepartmentofTransportation _ <br /> ~ ~ ~ PAGE N0. 1 <br /> 7 ~ 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 /> <br /> f OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> <br /> i SALEM OR 97301-3872 <br /> j 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 /> GENCV T/C CURR. OOC. DOC. DATE VENDOR NO./SUFFIX UNIT . <br /> 73 350 52418 -00 9901 <br /> <br /> t <br /> ACCOUNT NO . REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE soURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF148~5-000 ' O1 844OI0 22 ~c~yf ~ ~ 5~8~8-4`~' a~ 17483 - CON <br /> RVF17235-OOD O1 844010 21 4.92 21726 PE <br /> ~~a~ ~ <br /> AMOUNT DUE $5 <br /> 734-1158AQ3-88) ~ - <br /> <br />