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O~nDepartme~rtofT.ar>sportanon <br /> ~ ~ ~ PAGE NO. 1 <br /> ILLING DATE <br /> j <br /> ' 06/30/05 20:38 <br /> (COUNT 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 /> 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 /> I <br /> GENCV T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> <br /> j 73 350 0000132900-84 9901 <br /> ACCOUNT NO . R~")E ABO1Y cusronER cusronER cusronER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF17322-000 O1 844010 22 11.89. i-7483 = CON <br /> ; <br /> 4 ~ <br /> < _ ~ ~ ~ ~ <br /> AMOUNT DUE . <br /> S1 gg t . <br /> 734-1150"(11-88) ~ ~ <br /> <br />