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PAGE N0. 1 <br /> ~ ~ <br /> IIIING DATE <br /> 06/07/05 20:03 <br /> <br /> ' CCOUNT 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 /> IOST-CITY OF EUGENE PUBLIC WORKS <br /> j LGIP ACCOUNT #4909-PEGGY HAMLIN <br /> 858 PEARL 4TH FLOOR , FOR INFORMATION CONCERNING <br /> THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> I <br /> GENCY T/C CURR. DOC. DDC. DATE <br /> VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO. R~+UE "ssxeY cusTDMER <br /> SOURCE SOIKICE CUSTOMER CUSTOMER <br /> AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVF17322-000 O1 844010 22 24;890 _91 . <br /> 3 7483 - CON <br /> , ; , <br /> J <br /> 3 <br /> =~~r;~~~ <br /> s 4~ <br /> f <br /> a ~:~p <br /> . <br /> . _ I <br /> , <br /> AMOUNT DUE <br /> ~aa-Ilso"uI-asp <br /> i <br /> . _ r <br /> <br />