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~reg~. } ~:?partment of Transportation <br /> 'I Y Y O ~ ~ ~ PAGE N0. 1 <br /> 7 C" ILLING DATE <br /> 04/05/05 21:35 <br /> CCDUNT 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 /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOi1NT #4909-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> i EUGENE OR 97440 (503)986-3879 <br /> GENCY T/C CURR. DOC. OOC. DATE VENDOR NO.ISUFFIX UNIT <br /> I <br /> 73 350 0000132900-84 9901 <br /> REVENUE A6EMtY CUSTOMER CUSTOMER CUSTOMER <br /> ACCOUNT NO . SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REV REFERENCE <br /> RVFi7322-000. Oi 844010 22 0:00-•- f'C'(~.lf 17483 - CON <br /> <br /> 1 <br /> @~.~5~ t~ t: S ~tF t- F F~~ ei~ ~r~ii' <br /> ,U~ <br /> AMOUNT DUE NO^REMITTANCE.REQUIRED <br /> ~3a-usoacll-ear <br /> <br />