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G)regar) Departr7tent of Transportation <br /> PAGE N0. 1 <br /> SEEING DATE <br /> 06/06/06 18:56 <br /> CCOUNT NO. <br /> SEE BELO~I <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM ':vITH 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 TAMMY SMITH FOR INFORMATION CONCERNING <br /> 85$ PEARL STREET THIS INVOICE CALL: <br /> EUGENE OR 97401 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR N0./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO • REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF15284-Oll0 O1` 844x10 22 1.32 ~ 2i 726 - SON'- <br /> RVF1~235-OQQ O1 8440iQ 21 76.42 :r'? 2T726 PE <br /> RVF~.Z~43-00~ O1 844Q10 21 12..4:7:.: 221.17 - P.E <br /> g <br /> ilr` ,a- . <br /> AMOUNT DUE <br /> <br /> 734-1158A(11-88) <br /> <br />