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OregonDepartmentofTransportatron ~ <br /> PAGE N0. 1 <br /> ILLING ?ATE <br /> 08/02/05 19:38 <br /> CCDUNT ND. <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 /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> GENCY T/C CURR. ?DC. ?OC. ?ATE VENDOR ND./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> REVENUE 0.6ENCY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF17322-000 O1 84401:0. 22 68,562.12 17483 - CON <br /> ~ . _ a'ehs~"~~ra~~ <br /> AMOUNT DUE $68:, 2.12 ' <br /> <br /> 734-11500.(11-88) - <br /> <br />