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Y ~O ! ~ ~ - PAGE N0. 1 <br /> Y ILLING DATE <br /> 09/07/04 20:03 <br /> ccouNr No. <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 /> l _ _ <br /> ( j OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN ~ FOR INFORMATION CONCERNING <br /> ;858 PEARL 4TH FLOOR THIS INVOICE CALL.: <br /> EUGENE OR 97440 ~ (503)986-3879 <br /> - - <br /> ( GENCV T/C CURR. DOC. DOC. DATE VENDOR ND./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ACCOUNT NO. R~ENUE "6E"`y CUSTOMER cusTOMER <br /> SOURCE SOURCE AMOUNT DUE REV CUSTOMER <br /> AMOUNT REMITTED REFERENCE <br /> RVF14825-000 O1 844010 22 37.,691.24 "17483 - CON <br /> <br /> ~ <br /> sd~~'s~~.„n~~z~f~,~ ~~A`.~6.t~~p ,~a~a r~~'e4~ <br /> I <br /> i <br /> AMOUNT DUE $37 g~,, <br /> 734-11501Q1-88) <br /> <br />