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Orega?U~artn?en,~ad Transportation <br /> VD ~ ~ ~ PAGE N0. 1 <br /> ILLING DATE <br /> 06/30/05 20:38 <br /> (COUNT N0. <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 /> i <br /> GRANT ACCT PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> ;858 PEARL STREET i THIS INVOICE CALL: <br /> !EUGENE OR 97401 ~ (503)986-3879 <br /> GENCV T/C CURR. DOC. 60C. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 52918 -00 9901 <br /> ACCOUNT NO . REVENUE AC°"~ cusrDMER CUSTOMER CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVFi7339-000 Ol 844010 21 14.40 20958 ->PE <br /> RVF1727i-000 Ol 844010 ` 21 24.69 ~ 22213 PE <br /> ~~rr <br /> AMOUNT DUE .:.::.::$3 , d~ ~ <br /> ~ C~ <br /> "I: t:: <br /> <br /> 734-1150AQ3-88) <br /> <br />