,172~.k7f <br /> f/!>EyJt ~f Transportation <br /> V~ ~ ~ ~ PAGE N0. 1 <br /> SEEING DATE <br /> 05/03/05 19.39 <br /> CCOUNT ND. <br /> SEE BELOW <br /> <br /> ' TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> <br /> i <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 /> 1858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> EUGENE OR 97440 (503)986-3879 <br /> GENCY T/C CURR. DOC. DOC. DATE VENDOR NO./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO . REVeNUE "soicv cusTDMER cusTDr(ER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVFi7322-000 al <844010 22 34.27 17483 = CQN <br /> i <br /> zs <br /> ~F ~ I ~ ~ ~ r <br /> ~ <br /> AMOUNT DUE $3 7 x <br /> 734-1150"(11-88) <br /> <br />