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Cke~'' L'snartmentcfTransportation <br /> I, Y ~O ~ ~ ~ PAGE N0. 1 <br /> 7 ~ ILLING DATE <br /> 01/04/05 21:05 <br /> CCDUNT N0. <br /> SEE BELOW <br /> i <br /> TO ENSURE PROPER CREDIT, RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> I 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> '.OST-CITY OF EUGENE PUBLIC WORKS <br /> ILGIP ACCOUNT #4909-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> '858 PEARL 4TH FLOOR THIS INVOICE CALL: <br /> ( ~ (503)986-3879 <br /> I 'EUGENE OR 97440 <br /> i <br /> i <br /> r <br /> GENCY T/C CURR. DDC. DDC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO ~ REVENUE IIOENCP CUSTOMER CUSTOMER REV CUSTOMER <br /> SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVFT4825-000 O1 844010'- 22 13,488.80 17483 = CON <br /> <br /> I <br /> C~~~G2G __,u. <br /> n <br /> AMOUNT DUE <br /> ;8 Q <br /> 734-1150A(11-88) <br /> _ _ <br /> _ _ _ <br /> <br />